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 $89.13 Median $100.00 Typical High $162.18 | Facility | None | $89.13 | $100.00 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $89.13 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $27.54 | Professional | 26 · Professional part | $22.91 | $23.99 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $66.07 | $67.61 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $128.82 | $186.21 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $38.90 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $204.17 | Professional | TC · Technical part | $97.72 | $147.91 | $204.17 |
BCBS Kansas City Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $281.84 | Facility | None | $112.20 | $147.91 | $281.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $199.53 | $213.80 | $251.19 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $26.92 | $28.18 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $72.44 | $91.20 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $18.62 | $23.44 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $69.18 | $123.03 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $213.80 Typical High $457.09 | Facility | None | $89.13 | $213.80 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $707.95 Typical High $724.44 | Professional | None (both parts) | $134.90 | $707.95 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $27.54 | $199.53 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $109.65 | $588.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $128.82 | $151.36 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $28.18 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $123.03 | $177.83 |
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 $44.67 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $44.67 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $17.78 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | FX · Film X-ray | $70.79 | $70.79 | $87.10 |
Where Missouri sits
The same service costs 4.0 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· 11th of 51
$162
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.