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 $93.33 Median $93.33 Typical High $162.18 | Facility | None | $93.33 | $93.33 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $93.33 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $28.84 | $31.62 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $79.43 | Professional | TC · Technical part | $64.57 | $69.18 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $97.72 | $120.23 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $51.29 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $83.18 | $144.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $158.49 | Facility | None | $40.74 | $57.54 | $158.49 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $109.65 | $114.82 | $169.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $36.31 | $47.86 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $79.43 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $2,754.23 | Facility | None | $229.09 | $338.84 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $269.15 | Professional | None (both parts) | $77.62 | $109.65 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $35.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $186.21 | Professional | TC · Technical part | $52.48 | $74.13 | $186.21 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $229.09 Typical High $1,862.09 | Facility | None | $112.20 | $229.09 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $120.23 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $35.48 | $208.93 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $83.18 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,995.26 | $1,995.26 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $109.65 | $138.04 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $40.74 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $77.62 | $95.50 | $154.88 |
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 $46.77 Median $50.12 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $19.95 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $79.43 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $79.43 | $91.20 |
Where Missouri sits
The same service costs 4.6 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· 25th of 51
$135
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.