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 $239.88 Median $416.87 Typical High $1,819.70 | Facility | None | $239.88 | $416.87 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $138.04 | Facility | 26 · Professional part | $77.62 | $95.50 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $398.11 | Facility | TC · Technical part | $158.49 | $234.42 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $263.03 | $338.84 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $97.72 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $186.21 | $223.87 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $141.25 | $154.88 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $63.10 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $213.80 | $389.05 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $102.33 | $131.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $588.84 Typical High $1,148.15 | Professional | 50 · Both sides | $316.23 | $588.84 | $1,148.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $144.54 | $281.84 | $660.69 |
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 $213.80 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $213.80 | $223.87 | $316.23 |
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 $147.91 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $147.91 | $151.36 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $1,819.70 | Facility | None | $354.81 | $851.14 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $630.96 | Professional | None (both parts) | $169.82 | $263.03 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $501.19 | Professional | TC · Technical part | $117.49 | $186.21 | $501.19 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $1,000.00 Typical High $2,570.40 | Facility | None | $316.23 | $1,000.00 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $239.88 | $2,818.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $69.18 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $165.96 | $2,454.71 | $2,454.71 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
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 $229.09 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $229.09 | $338.84 | $707.95 |
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 $158.49 Median $229.09 Typical High $524.81 | Professional | TC · Technical part | $158.49 | $229.09 | $524.81 |
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 $141.25 Median $151.36 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $60.26 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $239.88 Typical High $302.00 | Professional | FX · Film X-ray | $223.87 | $239.88 | $302.00 |
Where Missouri sits
The same service costs 13.5 times more in Vermont 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· 21st of 51
$389
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.