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 $123.03 Median $138.04 Typical High $158.49 | Facility | None | $123.03 | $138.04 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $138.04 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $104.71 | Professional | 26 · Professional part | $87.10 | $89.13 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $54.95 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $173.78 | $204.17 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $102.33 | $141.25 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $79.43 | $131.83 |
BCBS Kansas City Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $181.97 | Facility | None | $74.13 | $95.50 | $181.97 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $275.42 | $295.12 | $346.74 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $114.82 | $141.25 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $89.13 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $42.66 | $53.70 | $91.20 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $724.44 | Facility | None | $151.36 | $239.88 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $436.52 Typical High $1,000.00 | Professional | None (both parts) | $181.97 | $436.52 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $95.50 | $616.60 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $251.19 Typical High $776.25 | Professional | TC · Technical part | $72.44 | $251.19 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $162.18 | $204.17 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $104.71 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $95.50 | $151.36 |
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 $69.18 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $69.18 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $112.20 | $134.90 |
Where Missouri sits
The same service costs 4.2 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· 19th of 51
$204
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.