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 $147.91 Median $147.91 Typical High $512.86 | Facility | None | $147.91 | $147.91 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $144.54 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $57.54 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $120.23 | Professional | TC · Technical part | $93.33 | $104.71 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $812.83 | Professional | None (both parts) | $165.96 | $302.00 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $100.00 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $707.95 | Professional | TC · Technical part | $102.33 | $190.55 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $239.88 Median $537.03 Typical High $1,348.96 | Facility | None | $239.88 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $186.21 | $190.55 | $257.04 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $64.57 | $67.61 | $87.10 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $120.23 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $9,549.93 | Facility | None | $346.74 | $512.86 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $489.78 | Professional | None (both parts) | $125.89 | $199.53 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $79.43 | $134.90 | $363.08 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $645.65 Typical High $9,332.54 | Facility | None | $181.97 | $645.65 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $186.21 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $66.07 | $676.08 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $117.49 | $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 $173.78 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $173.78 | $234.42 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $74.13 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $147.91 | $331.13 |
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 $72.44 Median $81.28 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $32.36 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $32.36 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $117.49 | $128.82 | $141.25 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 21st of 51
$269
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.