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 $107.15 Median $128.82 Typical High $204.17 | Facility | None | $107.15 | $128.82 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $54.95 | Facility | 26 · Professional part | $36.31 | $43.65 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $134.90 | Facility | TC · Technical part | $70.79 | $85.11 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $102.33 | $114.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $37.15 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $75.86 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $95.50 | Professional | None (both parts) | $79.43 | $87.10 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $30.90 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $1,412.54 | Facility | None | $467.74 | $549.54 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $109.65 | $173.78 | $223.87 |
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 $70.79 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $100.00 | $147.91 |
BCBS Kansas City Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $208.93 | Facility | None | $85.11 | $120.23 | $208.93 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $117.49 | $125.89 | $177.83 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $41.69 | $54.95 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $75.86 | $83.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $467.74 | Facility | None | $186.21 | $281.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $83.18 | $117.49 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $38.02 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $79.43 | $144.54 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $245.47 Typical High $691.83 | Facility | None | $117.49 | $245.47 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $125.89 | $758.58 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $38.90 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $85.11 | $512.86 | $512.86 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $169.82 | $169.82 | $199.53 |
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 $114.82 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $114.82 | $134.90 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $44.67 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $93.33 | $151.36 |
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 $51.29 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $20.42 | $21.38 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $85.11 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $85.11 | $100.00 |
Where Missouri sits
The same service costs 3.8 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
$151
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.