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 $134.90 Median $151.36 Typical High $295.12 | Facility | None | $134.90 | $151.36 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $128.82 | $141.25 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $46.77 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $95.50 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $54.95 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $131.83 | $151.36 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $162.18 | $190.55 |
BCBS Kansas City Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $199.53 | Facility | None | $74.13 | $102.33 | $199.53 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $154.88 | $162.18 | $204.17 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $53.70 | $64.57 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $109.65 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $371.54 Typical High $588.84 | Facility | None | $263.03 | $371.54 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $109.65 | $151.36 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $44.67 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $74.13 | $104.71 | $213.80 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $691.83 | Facility | None | $147.91 | $323.59 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $154.88 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $38.02 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $104.71 | $707.95 | $707.95 |
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 $141.25 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $141.25 | $177.83 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $54.95 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $117.49 | $194.98 |
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 $64.57 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $28.18 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $112.20 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $112.20 | $131.83 |
Where Missouri sits
The same service costs 4.3 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· 30th of 51
$170
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.