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 $25.12 Median $25.12 Typical High $40.74 | Facility | None | $25.12 | $25.12 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.92 Typical High $30.20 | Professional | None (both parts) | $24.55 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.55 Typical High $10.72 | Professional | 26 · Professional part | $8.71 | $9.55 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $19.50 | Professional | TC · Technical part | $16.22 | $17.38 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $30.20 | $51.29 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $10.47 | $15.85 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $12.02 | $41.69 | $74.13 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $29.51 | Facility | None | $12.02 | $15.85 | $29.51 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | None (both parts) | $14.79 | $14.79 | $18.62 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $14.45 | Professional | 26 · Professional part | $10.23 | $10.47 | $14.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $19.95 | $29.51 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.72 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $19.05 Typical High $34.67 | Professional | TC · Technical part | $12.88 | $19.05 | $34.67 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $43.65 Typical High $346.74 | Facility | None | $15.85 | $43.65 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $54.95 | $302.00 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $11.22 | $131.83 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $93.33 Typical High $275.42 | Professional | TC · Technical part | $43.65 | $93.33 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $48.98 | $60.26 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $12.59 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $85.11 | Professional | TC · Technical part | $39.81 | $47.86 | $85.11 |
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 $12.30 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $12.30 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.37 Typical High $6.03 | Professional | 53 · Discontinued | $4.90 | $5.37 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $21.38 Typical High $23.99 | Professional | FX · Film X-ray | $19.95 | $21.38 | $23.99 |
Where Missouri sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 14th of 51
$54.95
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.