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 $100.00 Median $128.82 Typical High $162.18 | Facility | None | $100.00 | $128.82 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $125.89 | Facility | TC · Technical part | $63.10 | $87.10 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $95.50 | $102.33 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $35.48 | $38.90 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $64.57 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $77.62 | $87.10 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $33.88 | $61.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $83.18 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $95.50 | $112.20 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $47.86 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $66.07 | $117.49 |
BCBS Kansas City Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $125.89 | Facility | None | $47.86 | $66.07 | $125.89 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $114.82 | $123.03 | $154.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $45.71 | $58.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $69.18 | $75.86 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $467.74 | Facility | None | $158.49 | $245.47 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $79.43 | $100.00 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $39.81 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $60.26 | $125.89 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $512.86 | Facility | None | $112.20 | $208.93 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $109.65 | $707.95 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $40.74 | $257.04 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $70.79 | $446.68 | $446.68 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $165.96 | $165.96 | $194.98 |
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 $104.71 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $104.71 | $120.23 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $45.71 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $77.62 | $131.83 |
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 $47.86 Median $50.12 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $20.42 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $81.28 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $81.28 | $93.33 |
Where Missouri sits
The same service costs 4.6 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· 29th of 51
$120
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.