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 $457.09 Median $2,511.89 Typical High $2,818.38 | Facility | None | $457.09 | $2,511.89 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,818.38 Typical High $3,090.30 | Professional | None (both parts) | $1,778.28 | $2,818.38 | $3,090.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $36.31 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $2,818.38 Typical High $3,090.30 | Professional | TC · Technical part | $1,778.28 | $2,818.38 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $275.42 | $407.38 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $61.66 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $549.54 | Professional | TC · Technical part | $239.88 | $338.84 | $549.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $263.03 Median $338.84 Typical High $645.65 | Facility | None | $263.03 | $338.84 | $645.65 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | None (both parts) | $436.52 | $436.52 | $478.63 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $42.66 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $5,888.44 | Facility | None | $588.84 | $851.14 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $181.97 | $257.04 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $41.69 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $223.87 | $398.11 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $537.03 Typical High $9,332.54 | Facility | None | $61.66 | $537.03 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $354.81 | $4,786.30 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $41.69 | $457.09 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $4,786.30 Typical High $4,786.30 | Professional | TC · Technical part | $309.03 | $4,786.30 | $4,786.30 |
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 $323.59 Median $1,659.59 Typical High $4,466.84 | Professional | None (both parts) | $323.59 | $1,659.59 | $4,466.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $46.77 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $1,621.81 Typical High $4,365.16 | Professional | TC · Technical part | $281.84 | $1,621.81 | $4,365.16 |
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 $977.24 Median $1,412.54 Typical High $1,548.82 | Professional | 52 · Reduced service | $977.24 | $1,412.54 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $575.44 Typical High $616.60 | Professional | 53 · Discontinued | $389.05 | $575.44 | $616.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,995.26 Median $2,290.87 Typical High $2,398.83 | Professional | FX · Film X-ray | $1,995.26 | $2,290.87 | $2,398.83 |
Where Missouri sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 33rd of 51
$479
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.