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 $95.50 Median $102.33 Typical High $229.09 | Facility | None | $95.50 | $102.33 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $93.33 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $38.02 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $58.88 | $66.07 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $95.50 | $186.21 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $61.66 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $125.89 Typical High $436.52 | Professional | TC · Technical part | $52.48 | $125.89 | $436.52 |
BCBS Kansas City Setting Facility Modifier None Typical Low $104.71 Median $338.84 Typical High $831.76 | Facility | None | $104.71 | $338.84 | $831.76 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $125.89 | $134.90 | $169.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $45.71 | $58.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $89.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $6,309.57 | Facility | None | $218.78 | $275.42 | $6,309.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $251.19 | Professional | None (both parts) | $81.28 | $117.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $41.69 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $173.78 | Professional | TC · Technical part | $48.98 | $72.44 | $173.78 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $398.11 Typical High $1,230.27 | Facility | None | $109.65 | $398.11 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $109.65 | $1,949.84 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $43.65 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $64.57 | $1,737.80 | $1,737.80 |
United Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,456.54 | Facility | None | $6,165.95 | $6,165.95 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $104.71 | $125.89 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $48.98 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $61.66 | $77.62 | $181.97 |
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 $46.77 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $46.77 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $20.42 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $83.18 Typical High $93.33 | Professional | FX · Film X-ray | $77.62 | $83.18 | $93.33 |
Where Missouri sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 25th of 51
$151
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.