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 $123.03 Median $165.96 Typical High $190.55 | Facility | None | $123.03 | $165.96 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $117.49 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $39.81 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $89.13 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $123.03 | $151.36 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $57.54 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $95.50 | $173.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $173.78 | Facility | None | $70.79 | $100.00 | $173.78 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $138.04 | $147.91 | $186.21 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $46.77 | $58.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $93.33 | $100.00 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $588.84 | Facility | None | $234.42 | $338.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $100.00 | $134.90 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $29.51 | $40.74 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $69.18 | $93.33 | $173.78 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $616.60 | Facility | None | $141.25 | $295.12 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $131.83 | $933.25 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $38.02 | $269.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $93.33 | $660.69 | $660.69 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
United Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $588.84 | Facility | None | $549.54 | $549.54 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $123.03 | $151.36 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $107.15 | $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 $58.88 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $30.20 | Professional | 53 · Discontinued | $23.44 | $25.12 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $102.33 Typical High $120.23 | Professional | FX · Film X-ray | $97.72 | $102.33 | $120.23 |
Where Missouri sits
The same service costs 3.9 times more in Alaska 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· 29th of 51
$151
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.