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 $134.90 Median $134.90 Typical High $416.87 | Facility | None | $134.90 | $134.90 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $134.90 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $48.98 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $95.50 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $794.33 | Professional | None (both parts) | $169.82 | $275.42 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $89.13 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $173.78 Typical High $707.95 | Professional | TC · Technical part | $102.33 | $173.78 | $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 $186.21 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $186.21 | $199.53 | $251.19 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $69.18 | $85.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $120.23 | $131.83 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $5,888.44 | Facility | None | $323.59 | $407.38 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $112.20 | $177.83 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $61.66 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $302.00 | Professional | TC · Technical part | $69.18 | $114.82 | $302.00 |
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 $186.21 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $186.21 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $58.88 | $489.78 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $120.23 | $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 $169.82 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $169.82 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $70.79 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $138.04 | $288.40 |
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 $67.61 Median $75.86 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $27.54 | $30.90 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $123.03 Typical High $131.83 | Professional | FX · Film X-ray | $109.65 | $123.03 | $131.83 |
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· 26th of 51
$234
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.