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 $87.10 Median $100.00 Typical High $245.47 | Facility | None | $87.10 | $100.00 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $87.10 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $25.70 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $79.43 | Professional | TC · Technical part | $63.10 | $66.07 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $5.50 | $41.69 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $169.82 | $245.47 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $173.78 | $245.47 |
BCBS Kansas City Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $338.84 | Facility | None | $134.90 | $177.83 | $338.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $263.03 | $275.42 | $331.13 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $30.90 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $70.79 | $123.03 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $19.50 | $33.88 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $51.29 | $87.10 | $169.82 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $229.09 Typical High $588.84 | Facility | None | $87.10 | $229.09 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $177.83 | $933.25 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $44.67 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $131.83 | $831.76 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $165.96 | $199.53 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $38.90 | $46.77 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $125.89 | $151.36 | $223.87 |
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 $43.65 Median $45.71 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $18.20 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $70.79 | $85.11 |
Where Missouri sits
The same service costs 4.2 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
$209
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.