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 $53.70 Median $77.62 Typical High $125.89 | Facility | None | $53.70 | $77.62 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $134.90 | Professional | None (both parts) | $53.70 | $64.57 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $32.36 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $26.92 | $34.67 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $37.15 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $218.78 | Facility | None | $125.89 | $128.82 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $61.66 | $107.15 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $46.77 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $54.95 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $54.95 | $75.86 |
BCBS Kansas City Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $141.25 | Facility | None | $51.29 | $58.88 | $141.25 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $69.18 | $74.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $478.63 | Facility | None | $97.72 | $131.83 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $60.26 | $87.10 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $40.74 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $28.84 | $42.66 | $75.86 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $416.87 | Facility | None | $83.18 | $144.54 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $147.91 Typical High $467.74 | Professional | None (both parts) | $69.18 | $147.91 | $467.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $69.18 Typical High $380.19 | Professional | 26 · Professional part | $33.11 | $69.18 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $77.62 Typical High $380.19 | Professional | TC · Technical part | $35.48 | $77.62 | $380.19 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $67.61 | $79.43 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $31.62 | $38.90 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $40.74 | $77.62 |
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 $26.92 Median $32.36 Typical High $34.67 | Professional | 52 · Reduced service | $26.92 | $32.36 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.88 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $12.88 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $51.29 Typical High $56.23 | Professional | FX · Film X-ray | $43.65 | $51.29 | $56.23 |
Where Missouri sits
The same service costs 4.7 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· 16th of 51
$95.50
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.