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 $128.82 Median $660.69 Typical High $1,479.11 | Facility | None | $128.82 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $112.20 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $63.10 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $66.07 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $72.44 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $112.20 | $190.55 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $89.13 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $54.95 | $100.00 | $177.83 |
BCBS Kansas City Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $338.84 | Facility | None | $102.33 | $134.90 | $338.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $120.23 | $123.03 | $181.97 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $61.66 | $93.33 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $60.26 | $63.10 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $81.28 | $123.03 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $56.23 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $40.74 | $61.66 | $114.82 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $741.31 | Facility | None | $144.54 | $234.42 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $229.09 Typical High $1,548.82 | Professional | None (both parts) | $123.03 | $229.09 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $691.83 | Professional | 26 · Professional part | $58.88 | $112.20 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $120.23 Typical High $1,230.27 | Professional | TC · Technical part | $63.10 | $120.23 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $117.49 | $138.04 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $67.61 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $60.26 | $72.44 | $120.23 |
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 $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $25.70 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $102.33 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $102.33 | $107.15 |
Where Missouri sits
The same service costs 5.6 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· 19th of 51
$158
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.