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 $416.87 Median $1,513.56 Typical High $2,089.30 | Facility | None | $416.87 | $1,513.56 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $371.54 | $416.87 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $154.88 | Professional | 26 · Professional part | $104.71 | $123.03 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $263.03 | $288.40 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $288.40 | $549.54 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $186.21 | Professional | 26 · Professional part | $89.13 | $134.90 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $199.53 | $389.05 | $776.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $1,412.54 | Facility | None | $575.44 | $724.44 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $288.40 | $302.00 | $416.87 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $91.20 | $93.33 | $120.23 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $204.17 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $2,454.71 | Facility | None | $524.81 | $1,380.38 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $229.09 | $363.08 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $257.04 | $630.96 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $1,071.52 Typical High $2,691.53 | Facility | None | $416.87 | $1,071.52 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $331.13 | $3,467.37 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $95.50 | $645.65 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $234.42 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $977.24 | Professional | None (both parts) | $309.03 | $457.09 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $112.20 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $323.59 | $676.08 |
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 $186.21 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $186.21 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $74.13 | $83.18 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $331.13 Typical High $371.54 | Professional | FX · Film X-ray | $302.00 | $331.13 | $371.54 |
Where Missouri sits
The same service costs 5.9 times more in Wyoming than in Utah. 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.
Missouri· 20th of 51
$525
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.