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 $57.54 Median $57.54 Typical High $128.82 | Facility | None | $57.54 | $57.54 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $70.79 | Professional | None (both parts) | $57.54 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $26.92 | Professional | 26 · Professional part | $20.42 | $21.88 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $44.67 | Professional | TC · Technical part | $37.15 | $38.90 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $158.49 | $218.78 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $33.88 | $45.71 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $165.96 | $223.87 |
BCBS Kansas City Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $331.13 | Facility | None | $134.90 | $173.78 | $331.13 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $239.88 | $251.19 | $302.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $27.54 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $47.86 | $75.86 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $16.98 | $27.54 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $30.20 | $46.77 | $91.20 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $181.97 Typical High $616.60 | Facility | None | $57.54 | $181.97 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $794.33 Typical High $891.25 | Professional | None (both parts) | $165.96 | $794.33 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $35.48 | $346.74 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $128.82 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $158.49 | $177.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $36.31 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $125.89 | $141.25 | $204.17 |
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 $28.84 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $13.80 | Professional | 53 · Discontinued | $11.48 | $11.75 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | FX · Film X-ray | $45.71 | $45.71 | $54.95 |
Where Missouri sits
The same service costs 6.6 times more in Nebraska 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· 12th of 51
$182
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.