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 $426.58 Median $870.96 Typical High $1,819.70 | Facility | None | $426.58 | $870.96 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $758.58 | Professional | None (both parts) | $389.05 | $467.74 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $93.33 | $112.20 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $363.08 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $239.88 | $275.42 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $87.10 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $575.44 Typical High $933.25 | Professional | None (both parts) | $331.13 | $575.44 | $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 $501.19 Median $870.96 Typical High $1,380.38 | Professional | 50 · Both sides | $501.19 | $870.96 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $446.68 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $446.68 | $776.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $1,412.54 | Facility | None | $562.34 | $660.69 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $331.13 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $331.13 | $338.84 | $489.78 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $81.28 | $85.11 | $109.65 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $245.47 | $257.04 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,454.71 Typical High $3,019.95 | Facility | None | $812.83 | $2,454.71 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $263.03 | $407.38 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $199.53 | $316.23 | $645.65 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $977.24 Typical High $3,019.95 | Facility | None | $446.68 | $977.24 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $380.19 | $3,311.31 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $83.18 | $588.84 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $295.12 | $2,951.21 | $2,951.21 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
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 $354.81 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $354.81 | $524.81 | $954.99 |
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 $275.42 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $275.42 | $407.38 | $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 $199.53 Median $234.42 Typical High $288.40 | Professional | 52 · Reduced service | $199.53 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $93.33 Typical High $117.49 | Professional | 53 · Discontinued | $79.43 | $93.33 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $380.19 Typical High $426.58 | Professional | FX · Film X-ray | $338.84 | $380.19 | $426.58 |
Where Missouri sits
The same service costs 5.4 times more in Wyoming than in Texas. 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
$562
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.