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 $134.90 Median $134.90 Typical High $204.17 | Facility | None | $134.90 | $134.90 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $128.82 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $21.88 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $117.49 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $128.82 | $158.49 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $36.31 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $117.49 | $218.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $229.09 | Facility | None | $91.20 | $128.82 | $229.09 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $151.36 | $165.96 | $199.53 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $24.55 | $25.70 | $33.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $138.04 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $933.25 | Facility | None | $281.84 | $446.68 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $107.15 | $144.54 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $24.55 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $234.42 | Professional | TC · Technical part | $91.20 | $123.03 | $234.42 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $316.23 Typical High $676.08 | Facility | None | $151.36 | $316.23 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $141.25 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $24.55 | $223.87 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $117.49 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $588.84 | Facility | None | $549.54 | $549.54 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $134.90 | $165.96 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $28.18 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $138.04 | $245.47 |
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 $64.57 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $27.54 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $109.65 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $109.65 | $128.82 |
Where Missouri sits
The same service costs 3.8 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· 33rd of 51
$158
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.