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 $114.82 Median $114.82 Typical High $407.38 | Facility | None | $114.82 | $114.82 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $114.82 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $52.48 | $56.23 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $64.57 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $218.78 Typical High $812.83 | Professional | None (both parts) | $117.49 | $218.78 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $97.72 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $707.95 | Professional | TC · Technical part | $72.44 | $131.83 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $177.83 Median $537.03 Typical High $1,348.96 | Facility | None | $177.83 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $134.90 | $141.25 | $204.17 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $66.07 | $85.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $75.86 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $9,549.93 | Facility | None | $218.78 | $380.19 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $407.38 | Professional | None (both parts) | $93.33 | $158.49 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $93.33 Typical High $288.40 | Professional | TC · Technical part | $50.12 | $93.33 | $288.40 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $645.65 Typical High $9,332.54 | Facility | None | $138.04 | $645.65 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $151.36 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $66.07 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $83.18 | $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 $138.04 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $138.04 | $181.97 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $72.44 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $100.00 | $257.04 |
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 $57.54 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $23.99 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $97.72 | $109.65 |
Where Missouri sits
The same service costs 5.4 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· 20th of 51
$209
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.