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 $26.92 Median $33.11 Typical High $43.65 | Facility | None | $26.92 | $33.11 | $43.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $42.66 | Facility | TC · Technical part | $19.95 | $26.30 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $52.48 | Professional | None (both parts) | $25.12 | $28.84 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $7.76 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $38.02 | Professional | TC · Technical part | $18.20 | $21.38 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $19.05 | $23.99 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $6.17 | $9.12 | $12.30 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $30.20 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $39.81 Typical High $53.70 | Professional | None (both parts) | $26.30 | $39.81 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $12.59 | $15.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $61.66 Typical High $79.43 | Professional | 50 · Both sides | $39.81 | $61.66 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $18.20 | $25.12 | $38.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $51.29 | Facility | None | $20.89 | $28.18 | $51.29 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $42.66 | Professional | None (both parts) | $31.62 | $33.88 | $42.66 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $8.71 | $8.91 | $11.75 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.12 Typical High $31.62 | Professional | TC · Technical part | $23.44 | $25.12 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $91.20 Typical High $457.09 | Facility | None | $48.98 | $91.20 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $22.91 | $30.90 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $5.89 | $8.51 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $42.66 | Professional | TC · Technical part | $15.85 | $21.88 | $42.66 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $66.07 Typical High $346.74 | Facility | None | $33.11 | $66.07 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $28.84 | $199.53 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $8.51 | $61.66 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $20.42 | $154.88 | $154.88 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $54.95 | Professional | None (both parts) | $46.77 | $52.48 | $54.95 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $27.54 | $33.11 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $8.13 | $9.77 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $23.44 | $42.66 |
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 $12.88 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.75 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $5.75 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $23.44 Typical High $26.30 | Professional | FX · Film X-ray | $21.88 | $23.44 | $26.30 |
Where Missouri sits
The same service costs 3.7 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· 27th of 51
$35.48
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.