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 $58.88 Median $66.07 Typical High $281.84 | Facility | None | $58.88 | $66.07 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $66.07 Typical High $190.55 | Professional | None (both parts) | $41.69 | $66.07 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $66.07 | Professional | 26 · Professional part | $17.38 | $22.91 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $83.18 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $93.33 | Professional | None (both parts) | $57.54 | $69.18 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $24.55 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $53.70 | $100.00 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $309.03 | Facility | None | $165.96 | $234.42 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $48.98 | $60.26 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $57.54 | Professional | 26 · Professional part | $16.98 | $20.89 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $104.71 | Professional | TC · Technical part | $31.62 | $38.90 | $104.71 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $275.42 Typical High $501.19 | Facility | None | $83.18 | $275.42 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $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 $23.99 Median $33.11 Typical High $95.50 | Professional | 52 · Reduced service | $23.99 | $33.11 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.18 Typical High $38.02 | Professional | 53 · Discontinued | $9.55 | $13.18 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $52.48 Typical High $151.36 | Professional | FX · Film X-ray | $46.77 | $52.48 | $151.36 |
Where Missouri sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 35th of 51
$77.62
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.