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 $114.82 Median $114.82 Typical High $204.17 | Facility | None | $114.82 | $114.82 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $114.82 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $38.90 | Professional | 26 · Professional part | $31.62 | $32.36 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $85.11 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $141.25 | $208.93 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $54.95 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $147.91 | $218.78 |
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 $218.78 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $218.78 | $234.42 | $275.42 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $38.90 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $95.50 | $120.23 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $33.11 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $87.10 | $144.54 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $239.88 Typical High $602.56 | Facility | None | $114.82 | $239.88 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $776.25 Typical High $851.14 | Professional | None (both parts) | $147.91 | $776.25 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $38.02 | $275.42 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $109.65 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $138.04 | $165.96 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $40.74 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $125.89 | $181.97 |
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 $57.54 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $22.91 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | FX · Film X-ray | $93.33 | $93.33 | $112.20 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 16th of 51
$178
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.