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 $316.23 Median $676.08 Typical High $1,819.70 | Facility | None | $316.23 | $676.08 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $316.23 | $380.19 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $102.33 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $257.04 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $173.78 | $190.55 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $74.13 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $245.47 | $457.09 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $83.18 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $173.78 | $354.81 | $630.96 |
BCBS Kansas City Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $1,174.90 | Facility | None | $478.63 | $602.56 | $1,174.90 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $239.88 | $251.19 | $407.38 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $72.44 | $74.13 | $97.72 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $165.96 | $173.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $2,041.74 | Facility | None | $354.81 | $851.14 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $724.44 | Professional | None (both parts) | $190.55 | $316.23 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $72.44 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $562.34 | Professional | TC · Technical part | $134.90 | $229.09 | $562.34 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $776.25 Typical High $2,570.40 | Facility | None | $363.08 | $776.25 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $288.40 | $3,467.37 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $75.86 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $204.17 | $2,454.71 | $2,454.71 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
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 $263.03 Median $398.11 Typical High $812.83 | Professional | None (both parts) | $263.03 | $398.11 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $89.13 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $281.84 | $588.84 |
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 $158.49 Median $173.78 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $85.11 | Professional | 53 · Discontinued | $63.10 | $69.18 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $275.42 Typical High $338.84 | Professional | FX · Film X-ray | $251.19 | $275.42 | $338.84 |
Where Missouri sits
The same service costs 6.0 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· 22nd of 51
$457
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.