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 $165.96 Median $177.83 Typical High $389.05 | Facility | None | $165.96 | $177.83 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $151.36 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $79.43 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $97.72 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $169.82 | $199.53 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $125.89 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $66.07 | $97.72 | $186.21 |
BCBS Kansas City Setting Facility Modifier None Typical Low $58.88 Median $83.18 Typical High $199.53 | Facility | None | $58.88 | $83.18 | $199.53 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $199.53 | $213.80 | $269.15 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $93.33 | $95.50 | $123.03 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $169.82 Typical High $446.68 | Facility | None | $87.10 | $169.82 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $138.04 | $177.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $97.72 | $194.98 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $851.14 | Facility | None | $190.55 | $263.03 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $194.98 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $83.18 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $112.20 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $181.97 | $213.80 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $95.50 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $120.23 | $204.17 |
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 $83.18 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $35.48 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $141.25 Typical High $162.18 | Professional | FX · Film X-ray | $134.90 | $141.25 | $162.18 |
Where Missouri sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 30th of 51
$209
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.