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 $199.53 Median $223.87 Typical High $251.19 | Facility | None | $199.53 | $223.87 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $223.87 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $87.10 | $95.50 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $134.90 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $213.80 | $302.00 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $177.83 | Professional | 26 · Professional part | $102.33 | $144.54 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $144.54 | $234.42 |
BCBS Kansas City Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $275.42 | Facility | None | $109.65 | $151.36 | $275.42 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $275.42 | $309.03 | $371.54 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $112.20 | $114.82 | $141.25 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $158.49 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $239.88 Typical High $616.60 | Facility | None | $95.50 | $239.88 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $169.82 | $199.53 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $89.13 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $112.20 | $194.98 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $562.34 Typical High $1,174.90 | Facility | None | $263.03 | $562.34 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $208.93 | $1,698.24 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $100.00 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $109.65 | $1,047.13 | $1,047.13 |
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 $208.93 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $208.93 | $229.09 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $107.15 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $128.82 | $213.80 |
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 $112.20 Median $112.20 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $44.67 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | FX · Film X-ray | $177.83 | $177.83 | $218.78 |
Where Missouri sits
The same service costs 5.4 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· 23rd of 51
$263
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.