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 $70.79 Median $97.72 Typical High $120.23 | Facility | None | $70.79 | $97.72 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $70.79 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $21.88 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $51.29 | $53.70 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $79.43 | $93.33 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $35.48 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $43.65 | $66.07 | $109.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $33.88 Median $47.86 Typical High $128.82 | Facility | None | $33.88 | $47.86 | $128.82 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $89.13 | $93.33 | $128.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $26.30 | $33.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $61.66 | $66.07 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $457.09 | Facility | None | $158.49 | $208.93 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $58.88 | $83.18 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $16.60 | $23.99 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $42.66 | $58.88 | $120.23 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $173.78 Typical High $371.54 | Facility | None | $83.18 | $173.78 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $91.20 | $758.58 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $23.99 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $67.61 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $81.28 | $107.15 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $22.91 | $27.54 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $77.62 | $112.20 |
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 $35.48 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $14.45 | $15.14 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $60.26 Typical High $69.18 | Professional | FX · Film X-ray | $57.54 | $60.26 | $69.18 |
Where Missouri sits
The same service costs 3.8 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· 24th of 51
$102
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.