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 $120.23 Median $208.93 Typical High $234.42 | Facility | None | $120.23 | $208.93 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $35.48 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $199.53 | $199.53 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $104.71 | $151.36 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $57.54 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $57.54 | $85.11 | $177.83 |
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 $158.49 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $158.49 | $169.82 | $199.53 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $47.86 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $912.01 | Facility | None | $154.88 | $223.87 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $70.79 | $87.10 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $36.31 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $41.69 | $51.29 | $87.10 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $263.03 Typical High $724.44 | Facility | None | $128.82 | $263.03 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $1,174.90 Typical High $1,258.93 | Professional | None (both parts) | $107.15 | $1,174.90 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $39.81 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $66.07 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $107.15 | $245.47 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $43.65 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $66.07 | $208.93 | $331.13 |
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 $104.71 Median $104.71 Typical High $128.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $41.69 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | FX · Film X-ray | $165.96 | $165.96 | $204.17 |
Where Missouri sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 37th of 51
$151
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.