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 $104.71 Median $104.71 Typical High $194.98 | Facility | None | $104.71 | $104.71 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $100.00 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $38.90 | $40.74 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $63.10 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $97.72 | $199.53 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $70.79 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $51.29 | $123.03 | $239.88 |
BCBS Kansas City Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $457.09 | Facility | None | $120.23 | $186.21 | $457.09 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $109.65 | $114.82 | $154.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $45.71 | $46.77 | $61.66 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $67.61 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $1,862.09 | Facility | None | $194.98 | $245.47 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $77.62 | $120.23 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $45.71 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $46.77 | $72.44 | $154.88 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $245.47 Typical High $501.19 | Facility | None | $114.82 | $245.47 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $114.82 | $1,174.90 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $45.71 | $346.74 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $66.07 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $107.15 | $134.90 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $45.71 | $53.70 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $87.10 | $151.36 |
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 $50.12 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $20.89 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $83.18 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $83.18 | $97.72 |
Where Missouri sits
The same service costs 4.6 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· 18th of 51
$166
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.