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 $446.68 Median $691.83 Typical High $1,819.70 | Facility | None | $446.68 | $691.83 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $407.38 Typical High $630.96 | Facility | TC · Technical part | $288.40 | $407.38 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $831.76 | Professional | None (both parts) | $398.11 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $114.82 | $158.49 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $537.03 | Professional | TC · Technical part | $263.03 | $323.59 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $245.47 | Professional | None (both parts) | $114.82 | $114.82 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $141.25 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $645.65 Typical High $1,584.89 | Professional | None (both parts) | $338.84 | $645.65 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $112.20 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $446.68 Typical High $1,148.15 | Professional | TC · Technical part | $223.87 | $446.68 | $1,148.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $724.44 Median $1,071.52 Typical High $2,630.27 | Facility | None | $724.44 | $1,071.52 | $2,630.27 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $331.13 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $331.13 | $346.74 | $489.78 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $114.82 | $117.49 | $154.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $218.78 | $229.09 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $2,754.23 | Facility | None | $524.81 | $1,380.38 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $1,148.15 | Professional | None (both parts) | $269.15 | $426.58 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $117.49 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $870.96 | Professional | TC · Technical part | $177.83 | $288.40 | $870.96 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,202.26 Typical High $3,090.30 | Facility | None | $478.63 | $1,202.26 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $389.05 Median $6,165.95 Typical High $6,165.95 | Professional | None (both parts) | $389.05 | $6,165.95 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $933.25 Typical High $933.25 | Professional | 26 · Professional part | $123.03 | $933.25 | $933.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $5,495.41 Typical High $5,495.41 | Professional | TC · Technical part | $263.03 | $5,495.41 | $5,495.41 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
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 $363.08 Median $537.03 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $537.03 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $114.82 | $151.36 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $831.76 | Professional | TC · Technical part | $245.47 | $363.08 | $831.76 |
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 $199.53 Median $239.88 Typical High $295.12 | Professional | 52 · Reduced service | $199.53 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $95.50 Typical High $117.49 | Professional | 53 · Discontinued | $81.28 | $95.50 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $389.05 Typical High $436.52 | Professional | FX · Film X-ray | $338.84 | $389.05 | $436.52 |
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· 14th of 51
$617
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.