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 $97.72 Median $112.20 Typical High $213.80 | Facility | None | $97.72 | $112.20 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $95.50 | $102.33 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $28.84 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $72.44 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $33.11 | $33.88 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $104.71 | $131.83 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $46.77 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $79.43 | $138.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $151.36 | Facility | None | $61.66 | $85.11 | $151.36 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $109.65 | $117.49 | $154.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $31.62 | $33.11 | $42.66 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $112.20 | Professional | TC · Technical part | $79.43 | $85.11 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $467.74 | Facility | None | $186.21 | $288.40 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $81.28 | $102.33 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $30.90 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $70.79 | $144.54 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $234.42 Typical High $512.86 | Facility | None | $112.20 | $234.42 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $114.82 | $741.31 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $30.90 | $1,548.82 | $1,548.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $85.11 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $104.71 | $125.89 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $34.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $91.20 | $158.49 |
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 $48.98 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $48.98 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $23.99 | Professional | 53 · Discontinued | $19.95 | $20.42 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $81.28 Typical High $95.50 | Professional | FX · Film X-ray | $79.43 | $81.28 | $95.50 |
Where Missouri sits
The same service costs 3.9 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· 23rd of 51
$132
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.