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 $64.57 Median $72.44 Typical High $151.36 | Facility | None | $64.57 | $72.44 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $95.50 | Professional | None (both parts) | $64.57 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $30.20 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $38.90 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $89.13 | $120.23 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $47.86 | $63.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $177.83 Typical High $223.87 | Professional | 50 · Both sides | $134.90 | $177.83 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $52.48 | $72.44 | $91.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $162.18 | Facility | None | $66.07 | $83.18 | $162.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $77.62 | $83.18 | $120.23 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $36.31 | $46.77 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $47.86 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $165.96 Typical High $457.09 | Facility | None | $131.83 | $165.96 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $53.70 | $83.18 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $23.44 | $32.36 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $52.48 Typical High $93.33 | Professional | TC · Technical part | $30.90 | $52.48 | $93.33 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $162.18 Typical High $512.86 | Facility | None | $77.62 | $162.18 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $91.20 | $588.84 | $588.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $33.11 | $338.84 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $54.95 | $354.81 | $354.81 |
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 $83.18 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $83.18 | $104.71 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $38.90 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $64.57 | $93.33 |
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 $32.36 Median $34.67 Typical High $39.81 | Professional | 52 · Reduced service | $32.36 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.80 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $13.80 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $54.95 Typical High $63.10 | Professional | FX · Film X-ray | $52.48 | $54.95 | $63.10 |
Where Missouri sits
The same service costs 3.7 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· 18th of 51
$112
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.