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 $467.74 Median $2,511.89 Typical High $2,818.38 | Facility | None | $467.74 | $2,511.89 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,818.38 Typical High $3,090.30 | Professional | None (both parts) | $2,089.30 | $2,818.38 | $3,090.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $45.71 | $50.12 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,818.38 Typical High $3,090.30 | Professional | TC · Technical part | $2,089.30 | $2,818.38 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $831.76 | Professional | None (both parts) | $407.38 | $478.63 | $831.76 |
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 $338.84 Median $407.38 Typical High $758.58 | Professional | TC · Technical part | $338.84 | $407.38 | $758.58 |
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 $446.68 Median $446.68 Typical High $501.19 | Professional | None (both parts) | $446.68 | $446.68 | $501.19 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $57.54 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $9,549.93 | Facility | None | $602.56 | $794.33 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $186.21 | $269.15 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $147.91 | $223.87 | $407.38 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $9,332.54 | Facility | None | $87.10 | $537.03 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $478.63 | $4,897.79 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $58.88 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $4,786.30 Typical High $4,786.30 | Professional | TC · Technical part | $426.58 | $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 $436.52 Median $2,818.38 Typical High $5,495.41 | Professional | None (both parts) | $436.52 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $66.07 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $2,754.23 Typical High $5,370.32 | Professional | TC · Technical part | $354.81 | $2,754.23 | $5,370.32 |
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 $1,071.52 Median $1,412.54 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,071.52 | $1,412.54 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $575.44 Typical High $616.60 | Professional | 53 · Discontinued | $426.58 | $575.44 | $616.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,041.74 Median $2,290.87 Typical High $2,398.83 | Professional | FX · Film X-ray | $2,041.74 | $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· 29th of 51
$589
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.