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 $85.11 Median $85.11 Typical High $123.03 | Facility | None | $85.11 | $85.11 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $81.28 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $18.62 | Professional | 26 · Professional part | $15.49 | $16.98 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $70.79 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $77.62 | $95.50 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $28.18 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $66.07 | $134.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $120.23 | Facility | None | $47.86 | $67.61 | $120.23 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $102.33 | $109.65 | $134.90 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $19.50 | $20.42 | $26.30 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $89.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $912.01 | Facility | None | $169.82 | $302.00 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $69.18 | $93.33 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $19.05 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $141.25 | Professional | TC · Technical part | $51.29 | $70.79 | $141.25 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $204.17 Typical High $977.24 | Facility | None | $95.50 | $204.17 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $85.11 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $19.05 | $114.82 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $66.07 | $524.81 | $524.81 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $81.28 | $100.00 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $18.20 | $21.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $79.43 | $144.54 |
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 $39.81 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $39.81 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $16.22 | $17.78 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $70.79 Typical High $81.28 | Professional | FX · Film X-ray | $67.61 | $70.79 | $81.28 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$97.72
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.