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 $141.25 Median $141.25 Typical High $457.09 | Facility | None | $141.25 | $141.25 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $138.04 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $47.86 | $52.48 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $158.49 | Professional | TC · Technical part | $89.13 | $100.00 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $794.33 | Professional | None (both parts) | $154.88 | $275.42 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $87.10 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $181.97 Typical High $707.95 | Professional | TC · Technical part | $97.72 | $181.97 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $218.78 Median $537.03 Typical High $1,348.96 | Facility | None | $218.78 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $173.78 | $181.97 | $239.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $60.26 | $79.43 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $123.03 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $9,549.93 | Facility | None | $338.84 | $446.68 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $436.52 | Professional | None (both parts) | $120.23 | $190.55 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $60.26 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $331.13 | Professional | TC · Technical part | $79.43 | $128.82 | $331.13 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $630.96 Typical High $9,332.54 | Facility | None | $169.82 | $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 $60.26 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $60.26 | $616.60 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $114.82 | $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 $162.18 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $162.18 | $218.78 | $407.38 |
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 $104.71 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $144.54 | $302.00 |
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 $69.18 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $27.54 | $30.20 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $120.23 | $134.90 |
Where Missouri sits
The same service costs 4.0 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· 22nd of 51
$245
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.