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 $562.34 Median $1,513.56 Typical High $2,089.30 | Facility | None | $562.34 | $1,513.56 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $407.38 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $112.20 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $389.05 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $354.81 | $602.56 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $87.10 | $151.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $912.01 Typical High $1,380.38 | Professional | 50 · Both sides | $537.03 | $912.01 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $467.74 Typical High $776.25 | Professional | TC · Technical part | $275.42 | $467.74 | $776.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $1,412.54 | Facility | None | $562.34 | $707.95 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $346.74 | $363.08 | $524.81 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $81.28 | $83.18 | $109.65 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $263.03 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $3,235.94 | Facility | None | $524.81 | $1,380.38 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $275.42 | $436.52 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $213.80 | $331.13 | $691.83 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,071.52 Typical High $3,235.94 | Facility | None | $501.19 | $1,071.52 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $407.38 | $3,388.44 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $83.18 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $323.59 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $1,000.00 | Professional | None (both parts) | $380.19 | $549.54 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $100.00 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $870.96 | Professional | TC · Technical part | $302.00 | $436.52 | $870.96 |
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 $204.17 Median $251.19 Typical High $302.00 | Professional | 52 · Reduced service | $204.17 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $120.23 | Professional | 53 · Discontinued | $81.28 | $100.00 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $398.11 Typical High $446.68 | Professional | FX · Film X-ray | $338.84 | $398.11 | $446.68 |
Where Missouri sits
The same service costs 5.4 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· 20th of 51
$589
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.