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 $51.29 Median $70.79 Typical High $154.88 | Facility | None | $51.29 | $70.79 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $51.29 | $57.54 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $26.92 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.90 Typical High $85.11 | Professional | TC · Technical part | $27.54 | $30.90 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | None (both parts) | $43.65 | $43.65 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $26.92 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $48.98 | $109.65 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $44.67 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $25.70 | $61.66 | $107.15 |
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 $63.10 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $63.10 | $66.07 | $87.10 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $30.20 | $39.81 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $33.11 | $36.31 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $457.09 | Facility | None | $102.33 | $151.36 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $64.57 Typical High $147.91 | Professional | None (both parts) | $43.65 | $64.57 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $19.95 | $26.92 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $104.71 | Professional | TC · Technical part | $23.44 | $32.36 | $104.71 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $151.36 Typical High $512.86 | Facility | None | $64.57 | $151.36 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $61.66 | $562.34 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $27.54 | $186.21 | $186.21 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $30.90 | $398.11 | $398.11 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
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 $58.88 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $58.88 | $81.28 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $31.62 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $29.51 | $42.66 | $83.18 |
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 $25.70 Median $28.18 Typical High $31.62 | Professional | 52 · Reduced service | $25.70 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $10.23 | $11.48 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $45.71 Typical High $50.12 | Professional | FX · Film X-ray | $40.74 | $45.71 | $50.12 |
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· 14th of 51
$97.72
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.