How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $97.72 | Facility | None | $31.62 | $38.90 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $60.26 Typical High $75.86 | Professional | None (both parts) | $34.67 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $17.38 Typical High $22.39 | Professional | 26 · Professional part | $10.23 | $17.38 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $24.55 | $42.66 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $42.66 | Professional | None (both parts) | $26.92 | $30.20 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $12.59 | Professional | 26 · Professional part | $8.13 | $10.23 | $12.59 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $30.20 | Professional | TC · Technical part | $20.42 | $25.70 | $30.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $93.33 Typical High $165.96 | Facility | None | $32.36 | $93.33 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $32.36 | $44.67 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $15.49 Typical High $19.50 | Professional | 26 · Professional part | $9.12 | $15.49 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $28.84 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.12 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $9.12 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $26.30 | $36.31 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $22.39 | Professional | 26 · Professional part | $9.12 | $10.96 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.70 Typical High $46.77 | Professional | TC · Technical part | $16.98 | $25.70 | $46.77 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $30.20 Typical High $38.02 | Professional | 52 · Reduced service | $17.38 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $12.02 Typical High $15.14 | Professional | 53 · Discontinued | $6.92 | $12.02 | $15.14 |
Ambetter Setting Professional Modifier FY · Cassette-based X-ray Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | FY · Cassette-based X-ray | $35.48 | $35.48 | $35.48 |
Where Mississippi sits
The same service costs 12.6 times more in Vermont than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Mississippi· 38th of 51
$40.74
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.