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 $93.33 Median $104.71 Typical High $147.91 | Facility | None | $93.33 | $104.71 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $91.20 | $100.00 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $24.55 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $74.13 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $81.28 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $93.33 | $102.33 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $29.51 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $75.86 | $134.90 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $107.15 | $114.82 | $141.25 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $27.54 | $28.84 | $36.31 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $104.71 | Professional | TC · Technical part | $79.43 | $87.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $295.12 Typical High $467.74 | Facility | None | $128.82 | $295.12 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $77.62 | $95.50 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $19.05 | $26.30 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $70.79 | $144.54 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $512.86 | Facility | None | $102.33 | $229.09 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $257.04 Typical High $691.83 | Professional | None (both parts) | $102.33 | $257.04 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $26.30 | $165.96 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $75.86 | $524.81 | $524.81 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
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 $102.33 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $102.33 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $30.20 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $74.13 | $89.13 | $154.88 |
1 more rate 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 FX · Film X-ray Typical Low $74.13 Median $79.43 Typical High $91.20 | Professional | FX · Film X-ray | $74.13 | $79.43 | $91.20 |
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· 33rd 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.