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 $354.81 Median $354.81 Typical High $851.14 | Facility | None | $354.81 | $354.81 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $354.81 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $35.48 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $346.74 Typical High $398.11 | Professional | TC · Technical part | $323.59 | $346.74 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $478.63 | $707.95 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $58.88 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $645.65 Typical High $891.25 | Professional | TC · Technical part | $426.58 | $645.65 | $891.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $1,230.27 | Facility | None | $489.78 | $645.65 | $1,230.27 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $295.12 | $446.68 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $407.38 | $707.95 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $724.44 Typical High $2,041.74 | Facility | None | $144.54 | $724.44 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $549.54 Median $831.76 Typical High $3,388.44 | Professional | None (both parts) | $549.54 | $831.76 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $75.86 Typical High $602.56 | Professional | 26 · Professional part | $41.69 | $75.86 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $758.58 Typical High $3,090.30 | Professional | TC · Technical part | $501.19 | $758.58 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $501.19 | $616.60 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $46.77 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $575.44 Typical High $1,023.29 | Professional | TC · Technical part | $467.74 | $575.44 | $1,023.29 |
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 $177.83 Median $190.55 Typical High $218.78 | Professional | 52 · Reduced service | $177.83 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $87.10 | Professional | 53 · Discontinued | $70.79 | $75.86 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $302.00 Typical High $346.74 | Professional | FX · Film X-ray | $288.40 | $302.00 | $346.74 |
Where Missouri sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 10th of 51
$661
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.