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 $26.92 Median $81.28 Typical High $154.88 | Facility | None | $26.92 | $81.28 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $81.28 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $58.88 | $64.57 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $23.44 | $25.70 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $478.63 | Professional | None (both parts) | $89.13 | $154.88 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $112.20 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $44.67 Typical High $309.03 | Professional | TC · Technical part | $21.88 | $44.67 | $309.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $51.29 Median $239.88 Typical High $588.84 | Facility | None | $51.29 | $239.88 | $588.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $134.90 | Professional | None (both parts) | $100.00 | $107.15 | $134.90 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $72.44 | $75.86 | $100.00 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $33.88 | Professional | TC · Technical part | $25.12 | $30.90 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $69.18 | $97.72 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $66.07 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $61.66 | Professional | TC · Technical part | $19.95 | $26.92 | $61.66 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $660.69 | Facility | None | $102.33 | $257.04 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $208.93 Typical High $1,737.80 | Professional | None (both parts) | $95.50 | $208.93 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $147.91 Typical High $501.19 | Professional | 26 · Professional part | $67.61 | $147.91 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $123.03 Typical High $1,412.54 | Professional | TC · Technical part | $26.30 | $123.03 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $93.33 | $107.15 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $79.43 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $85.11 | Professional | TC · Technical part | $24.55 | $29.51 | $85.11 |
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 $40.74 Median $44.67 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $18.20 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $72.44 Typical High $79.43 | Professional | FX · Film X-ray | $64.57 | $72.44 | $79.43 |
Where Missouri sits
The same service costs 5.2 times more in Alaska than in Texas. 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· 21st of 51
$126
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.