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 $223.87 Median $398.11 Typical High $1,819.70 | Facility | None | $223.87 | $398.11 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $204.17 Typical High $331.13 | Facility | TC · Technical part | $134.90 | $204.17 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $263.03 | $316.23 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $109.65 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $204.17 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $74.13 | $169.82 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $67.61 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $199.53 | $389.05 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $257.04 Typical High $630.96 | Professional | TC · Technical part | $128.82 | $257.04 | $630.96 |
BCBS Kansas City Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $1,318.26 | Facility | None | $489.78 | $575.44 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $199.53 | $208.93 | $302.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $75.86 | $100.00 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $131.83 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $1,548.82 | Facility | None | $354.81 | $851.14 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $158.49 | $251.19 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $524.81 | Professional | TC · Technical part | $102.33 | $162.18 | $524.81 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $741.31 Typical High $2,570.40 | Facility | None | $288.40 | $741.31 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $229.09 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $77.62 | $602.56 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $2,754.23 Typical High $2,754.23 | Professional | TC · Technical part | $147.91 | $2,754.23 | $2,754.23 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $707.95 | Professional | None (both parts) | $213.80 | $316.23 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $204.17 | $489.78 |
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 $131.83 Median $144.54 Typical High $199.53 | Professional | 52 · Reduced service | $131.83 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $57.54 Typical High $81.28 | Professional | 53 · Discontinued | $52.48 | $57.54 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $229.09 Typical High $281.84 | Professional | FX · Film X-ray | $208.93 | $229.09 | $281.84 |
Where Missouri sits
The same service costs 6.5 times more in Alaska 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
$398
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.