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 $117.49 Median $117.49 Typical High $436.52 | Facility | None | $117.49 | $117.49 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $117.49 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $46.77 | $48.98 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $70.79 | $75.86 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $794.33 | Professional | None (both parts) | $134.90 | $239.88 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $85.11 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $707.95 | Professional | TC · Technical part | $79.43 | $144.54 | $707.95 |
BCBS Kansas City 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 Kansas City Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $141.25 | $147.91 | $208.93 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $57.54 | $74.13 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $89.13 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $5,888.44 | Facility | None | $257.04 | $416.87 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $407.38 | Professional | None (both parts) | $97.72 | $165.96 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $57.54 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $104.71 Typical High $309.03 | Professional | TC · Technical part | $58.88 | $104.71 | $309.03 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $630.96 Typical High $9,332.54 | Facility | None | $141.25 | $630.96 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $154.88 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $57.54 | $537.03 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $93.33 | $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 $141.25 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $141.25 | $190.55 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $64.57 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $281.84 | Professional | TC · Technical part | $87.10 | $114.82 | $281.84 |
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 $58.88 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $29.51 | Professional | 53 · Discontinued | $23.44 | $25.12 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | FX · Film X-ray | $93.33 | $100.00 | $114.82 |
Where Missouri sits
The same service costs 4.3 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
$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.