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 $58.88 Median $83.18 Typical High $120.23 | Facility | None | $58.88 | $83.18 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $83.18 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $33.11 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $51.29 | $54.95 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $95.50 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $51.29 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $85.11 | $120.23 |
BCBS Kansas City Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $162.18 | Facility | None | $66.07 | $85.11 | $162.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $69.18 | $95.50 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $36.31 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $60.26 | $112.20 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $426.58 | Facility | None | $83.18 | $138.04 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $954.99 | Professional | None (both parts) | $97.72 | $158.49 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $234.42 | Professional | 26 · Professional part | $33.88 | $61.66 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $758.58 | Professional | TC · Technical part | $67.61 | $104.71 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $97.72 | $120.23 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $39.81 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $81.28 | $154.88 |
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 $41.69 Median $44.67 Typical High $50.12 | Professional | 52 · Reduced service | $41.69 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.78 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $17.78 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $70.79 Typical High $81.28 | Professional | FX · Film X-ray | $66.07 | $70.79 | $81.28 |
Where Missouri sits
The same service costs 4.6 times more in Alaska than in Oregon. 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
$129
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.