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 $398.11 Median $1,513.56 Typical High $2,089.30 | Facility | None | $398.11 | $1,513.56 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $363.08 | $398.11 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $281.84 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $281.84 | $537.03 | $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 $416.87 Median $794.33 Typical High $1,380.38 | Professional | 50 · Both sides | $416.87 | $794.33 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $199.53 | $363.08 | $758.58 |
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 $275.42 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $275.42 | $288.40 | $446.68 |
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 $194.98 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $204.17 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $2,398.83 | Facility | None | $524.81 | $1,071.52 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $831.76 | Professional | None (both parts) | $218.78 | $363.08 | $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 $158.49 Median $263.03 Typical High $645.65 | Professional | TC · Technical part | $158.49 | $263.03 | $645.65 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $2,570.40 | Facility | None | $407.38 | $954.99 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $323.59 | $3,311.31 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $83.18 | $616.60 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $234.42 | $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 $302.00 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $302.00 | $457.09 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $97.72 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $323.59 | $660.69 |
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 $181.97 Median $199.53 Typical High $245.47 | Professional | 52 · Reduced service | $181.97 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $72.44 | $79.43 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $316.23 Typical High $354.81 | Professional | FX · Film X-ray | $288.40 | $316.23 | $354.81 |
Where Missouri sits
The same service costs 5.5 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· 19th of 51
$525
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.