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 $346.74 Median $616.60 Typical High $1,819.70 | Facility | None | $346.74 | $616.60 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $645.65 | Facility | TC · Technical part | $269.15 | $346.74 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $724.44 | Professional | None (both parts) | $371.54 | $426.58 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $93.33 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $281.84 | $331.13 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $269.15 | $269.15 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $69.18 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $501.19 Typical High $758.58 | Professional | None (both parts) | $269.15 | $501.19 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $74.13 | $125.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $758.58 Typical High $1,148.15 | Professional | 50 · Both sides | $398.11 | $758.58 | $1,148.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $389.05 Typical High $630.96 | Professional | TC · Technical part | $199.53 | $389.05 | $630.96 |
BCBS Kansas City Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $1,174.90 | Facility | None | $467.74 | $602.56 | $1,174.90 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $316.23 | $331.13 | $457.09 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $67.61 | $70.79 | $91.20 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $257.04 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $3,019.95 | Facility | None | $354.81 | $851.14 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $257.04 | $389.05 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $67.61 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $616.60 | Professional | TC · Technical part | $199.53 | $309.03 | $616.60 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $2,818.38 | Facility | None | $398.11 | $758.58 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $371.54 | $2,818.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $69.18 | $467.74 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $295.12 | $2,511.89 | $2,511.89 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
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 $346.74 Median $501.19 Typical High $891.25 | Professional | None (both parts) | $346.74 | $501.19 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $81.28 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $794.33 | Professional | TC · Technical part | $275.42 | $398.11 | $794.33 |
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 $186.21 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $186.21 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $74.13 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $338.84 Typical High $389.05 | Professional | FX · Film X-ray | $331.13 | $338.84 | $389.05 |
Where Missouri sits
The same service costs 5.1 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· 18th of 51
$513
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.