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 $131.83 Median $131.83 Typical High $457.09 | Facility | None | $131.83 | $131.83 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $131.83 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $57.54 | Professional | 26 · Professional part | $47.86 | $51.29 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $85.11 | $93.33 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $794.33 | Professional | None (both parts) | $154.88 | $269.15 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $89.13 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $707.95 | Professional | TC · Technical part | $95.50 | $173.78 | $707.95 |
BCBS Setting Facility Modifier None Typical Low $199.53 Median $537.03 Typical High $1,348.96 | Facility | None | $199.53 | $537.03 | $1,348.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $158.49 | $165.96 | $229.09 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $58.88 | $77.62 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $107.15 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $446.68 Typical High $5,888.44 | Facility | None | $309.03 | $446.68 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $109.65 | $181.97 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $331.13 | Professional | TC · Technical part | $70.79 | $120.23 | $331.13 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $630.96 Typical High $9,332.54 | Facility | None | $162.18 | $630.96 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $173.78 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $57.54 | $467.74 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $112.20 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,471.29 | Facility | None | $10,000.00 | $10,000.00 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $158.49 | $204.17 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $66.07 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $134.90 | $288.40 |
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 $66.07 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $66.07 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $28.84 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $114.82 | $128.82 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 29th of 51
$224
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.