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 $100.00 Median $134.90 Typical High $177.83 | Facility | None | $100.00 | $134.90 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $100.00 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $23.99 | $28.84 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $85.11 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $114.82 | $181.97 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $42.66 | $54.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $275.42 Typical High $363.08 | Professional | 50 · Both sides | $173.78 | $275.42 | $363.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $181.97 | Professional | TC · Technical part | $87.10 | $141.25 | $181.97 |
BCBS Kansas City Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $281.84 | Facility | None | $112.20 | $151.36 | $281.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $123.03 | $128.82 | $165.96 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $35.48 | $43.65 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $93.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $1,819.70 | Facility | None | $239.88 | $302.00 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $79.43 | $125.89 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $30.90 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $57.54 | $95.50 | $169.82 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $1,071.52 | Facility | None | $125.89 | $229.09 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $134.90 | $954.99 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $30.20 | $234.42 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $104.71 | $794.33 | $794.33 |
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 $125.89 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $125.89 | $154.88 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $33.11 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $120.23 | $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 $50.12 Median $54.95 Typical High $69.18 | Professional | 52 · Reduced service | $50.12 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.39 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $22.39 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $89.13 Typical High $107.15 | Professional | FX · Film X-ray | $79.43 | $89.13 | $107.15 |
Where Missouri sits
The same service costs 3.5 times more in Alaska 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· 20th of 51
$162
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.