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 $117.49 Median $151.36 Typical High $213.80 | Facility | None | $117.49 | $151.36 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $117.49 | $131.83 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $30.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $100.00 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $93.33 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $114.82 | $144.54 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $72.44 | $87.10 | $177.83 |
BCBS Kansas City Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $213.80 | Facility | None | $87.10 | $120.23 | $213.80 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $123.03 | $131.83 | $158.49 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $35.48 | $46.77 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $95.50 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $501.19 Typical High $758.58 | Facility | None | $199.53 | $501.19 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $104.71 | $144.54 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $32.36 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $257.04 | Professional | TC · Technical part | $70.79 | $120.23 | $257.04 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $645.65 | Facility | None | $158.49 | $263.03 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $125.89 | $891.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $33.11 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $93.33 | $691.83 | $691.83 |
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 $123.03 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $123.03 | $165.96 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $36.31 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $128.82 | $263.03 |
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 $58.88 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $26.30 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $104.71 Typical High $114.82 | Professional | FX · Film X-ray | $95.50 | $104.71 | $114.82 |
Where Missouri sits
The same service costs 4.9 times more in Wyoming 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· 38th of 51
$145
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.