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 $102.33 Median $102.33 Typical High $114.82 | Facility | None | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $102.33 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $46.77 | $46.77 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $93.33 | $169.82 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $18.20 | $69.18 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $56.23 | $107.15 | $181.97 |
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 $199.53 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $199.53 | $213.80 | $251.19 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $72.44 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $85.11 | $109.65 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $60.26 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $48.98 | $81.28 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $229.09 Typical High $524.81 | Facility | None | $100.00 | $229.09 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $134.90 | $512.86 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $61.66 | $407.38 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $63.10 | $562.34 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $123.03 | $147.91 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $61.66 | $67.61 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $60.26 | $79.43 | $123.03 |
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 $51.29 Median $51.29 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $20.42 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $81.28 | $100.00 |
Where Missouri sits
The same service costs 4.5 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
$155
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.