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 $120.23 Median $120.23 Typical High $407.38 | Facility | None | $120.23 | $120.23 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $120.23 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $56.23 | $61.66 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $67.61 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $229.09 Typical High $812.83 | Professional | None (both parts) | $128.82 | $229.09 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $107.15 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $181.97 Typical High $707.95 | Professional | TC · Technical part | $77.62 | $181.97 | $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 $144.54 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $144.54 | $147.91 | $213.80 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $69.18 | $70.79 | $93.33 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $77.62 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $380.19 Typical High $9,549.93 | Facility | None | $223.87 | $380.19 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $407.38 | Professional | None (both parts) | $100.00 | $165.96 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $70.79 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $95.50 Typical High $288.40 | Professional | TC · Technical part | $51.29 | $95.50 | $288.40 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $389.05 Typical High $9,332.54 | Facility | None | $144.54 | $389.05 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $158.49 | $4,168.69 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $72.44 | $724.44 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $85.11 | $3,467.37 | $3,467.37 |
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 $144.54 Median $190.55 Typical High $398.11 | Professional | None (both parts) | $144.54 | $190.55 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $79.43 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $100.00 | $257.04 |
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 $58.88 Median $64.57 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $30.20 | Professional | 53 · Discontinued | $23.99 | $25.70 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $102.33 Typical High $114.82 | Professional | FX · Film X-ray | $95.50 | $102.33 | $114.82 |
Where Missouri sits
The same service costs 4.7 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· 19th of 51
$219
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.