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 $109.65 Median $109.65 Typical High $416.87 | Facility | None | $109.65 | $109.65 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $109.65 | $117.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $46.77 | $51.29 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $67.61 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $213.80 Typical High $794.33 | Professional | None (both parts) | $117.49 | $213.80 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $89.13 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $707.95 | Professional | TC · Technical part | $74.13 | $131.83 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $177.83 Median $537.03 Typical High $1,348.96 | Facility | None | $177.83 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $134.90 | $141.25 | $194.98 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $57.54 | $60.26 | $77.62 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $83.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $389.05 Typical High $9,549.93 | Facility | None | $229.09 | $389.05 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $398.11 | Professional | None (both parts) | $91.20 | $154.88 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $295.12 | Professional | TC · Technical part | $52.48 | $93.33 | $295.12 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $478.63 Typical High $9,332.54 | Facility | None | $131.83 | $478.63 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $147.91 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $58.88 | $537.03 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $87.10 | $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 $134.90 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $134.90 | $177.83 | $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 $79.43 Median $102.33 Typical High $263.03 | Professional | TC · Technical part | $79.43 | $102.33 | $263.03 |
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 $54.95 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $54.95 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $21.88 | $23.44 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $95.50 Typical High $107.15 | Professional | FX · Film X-ray | $87.10 | $95.50 | $107.15 |
Where Missouri sits
The same service costs 4.1 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· 20th of 51
$204
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.