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 $97.72 Median $436.52 Typical High $489.78 | Facility | None | $97.72 | $436.52 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $524.81 | Professional | None (both parts) | $380.19 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $23.99 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $478.63 Typical High $524.81 | Professional | TC · Technical part | $371.54 | $478.63 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $302.00 | Professional | None (both parts) | $77.62 | $114.82 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $39.81 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $263.03 | Professional | TC · Technical part | $46.77 | $70.79 | $263.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $53.70 Median $69.18 Typical High $131.83 | Facility | None | $53.70 | $69.18 | $131.83 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $117.49 | $117.49 | $128.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $27.54 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $1,122.02 | Facility | None | $123.03 | $173.78 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $72.44 Typical High $128.82 | Professional | None (both parts) | $48.98 | $72.44 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $18.20 | $26.92 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $46.77 Typical High $81.28 | Professional | TC · Technical part | $30.90 | $46.77 | $81.28 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $309.03 Typical High $1,621.81 | Facility | None | $40.74 | $309.03 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $97.72 | $851.14 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $27.54 | $154.88 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $66.07 | $812.83 | $812.83 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,737.80 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $89.13 | $512.86 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $30.90 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $501.19 Typical High $912.01 | Professional | TC · Technical part | $60.26 | $501.19 | $912.01 |
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 $190.55 Median $245.47 Typical High $263.03 | Professional | 52 · Reduced service | $190.55 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $97.72 Typical High $104.71 | Professional | 53 · Discontinued | $75.86 | $97.72 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $389.05 Typical High $416.87 | Professional | FX · Film X-ray | $346.74 | $389.05 | $416.87 |
Where Missouri sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 36th of 51
$129
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.