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 $38.90 Median $46.77 Typical High $63.10 | Facility | None | $38.90 | $46.77 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $37.15 | $42.66 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $12.88 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $29.51 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $41.69 | $58.88 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $77.62 | Professional | None (both parts) | $34.67 | $57.54 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $14.13 | $20.42 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $37.15 | $53.70 |
BCBS Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $141.25 | Facility | None | $33.88 | $57.54 | $141.25 |
BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $63.10 | Professional | None (both parts) | $46.77 | $50.12 | $63.10 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $14.13 | $14.45 | $19.95 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $36.31 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $125.89 Typical High $245.47 | Facility | None | $61.66 | $125.89 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $31.62 | $43.65 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $25.12 | Professional | 26 · Professional part | $9.55 | $13.80 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $58.88 | Professional | TC · Technical part | $19.05 | $27.54 | $58.88 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $346.74 | Facility | None | $47.86 | $95.50 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $39.81 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $39.81 | $229.09 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $14.45 | $83.18 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $26.30 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $39.81 | $48.98 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $16.22 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $25.12 | $32.36 | $58.88 |
2 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 $19.05 Median $20.89 Typical High $23.99 | Professional | 52 · Reduced service | $19.05 | $20.89 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $33.88 Typical High $38.02 | Professional | FX · Film X-ray | $30.90 | $33.88 | $38.02 |
Where Missouri sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 23rd of 51
$52.48
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.