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 $33.88 Median $40.74 Typical High $58.88 | Facility | None | $33.88 | $40.74 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $33.88 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $13.80 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $22.91 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $32.36 | $52.48 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $10.96 | $17.78 | $20.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $28.84 | $40.74 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.39 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $22.39 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $19.95 | $42.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $19.50 Median $27.54 Typical High $47.86 | Facility | None | $19.50 | $27.54 | $47.86 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $41.69 | $44.67 | $53.70 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $19.95 | Professional | 26 · Professional part | $14.79 | $15.49 | $19.95 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $35.48 | Professional | TC · Technical part | $26.30 | $28.84 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $27.54 | $34.67 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $10.23 | $14.13 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $19.95 | $40.74 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $81.28 Typical High $512.86 | Facility | None | $38.90 | $81.28 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $33.11 | $288.40 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $14.45 | $204.17 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $19.05 | $229.09 | $229.09 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $64.57 | Professional | None (both parts) | $32.36 | $38.90 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $27.54 | Professional | 26 · Professional part | $13.80 | $16.22 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $22.91 | $40.74 |
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 $16.98 Median $17.78 Typical High $20.89 | Professional | 52 · Reduced service | $16.98 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $6.76 | $7.08 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $28.84 Typical High $33.11 | Professional | FX · Film X-ray | $27.54 | $28.84 | $33.11 |
Where Missouri sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 24th of 51
$40.74
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.