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 $114.82 Median $147.91 Typical High $288.40 | Facility | None | $114.82 | $147.91 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $114.82 | $141.25 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $89.13 | $104.71 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $100.00 | Professional | TC · Technical part | $26.30 | $37.15 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $123.03 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $7,079.46 Typical High $8,709.64 | Facility | None | $5,888.44 | $7,079.46 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $234.42 Typical High $794.33 | Professional | None (both parts) | $128.82 | $234.42 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $104.71 | $151.36 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $57.54 Typical High $616.60 | Professional | TC · Technical part | $22.39 | $57.54 | $616.60 |
BCBS Kansas City Setting Facility Modifier None Typical Low $97.72 Median $478.63 Typical High $1,174.90 | Facility | None | $97.72 | $478.63 | $1,174.90 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $151.36 | $162.18 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $1,995.26 | Facility | None | $120.23 | $177.83 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $131.83 | $190.55 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $138.04 Typical High $229.09 | Professional | 26 · Professional part | $100.00 | $138.04 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $45.71 Typical High $213.80 | Professional | TC · Technical part | $29.51 | $45.71 | $213.80 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $630.96 Typical High $1,737.80 | Facility | None | $194.98 | $630.96 | $1,737.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $537.03 Typical High $3,019.95 | Professional | None (both parts) | $144.54 | $537.03 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $245.47 Typical High $1,047.13 | Professional | 26 · Professional part | $109.65 | $245.47 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $239.88 Typical High $2,511.89 | Professional | TC · Technical part | $26.92 | $239.88 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,737.80 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $141.25 | $186.21 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $128.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $165.96 | Professional | TC · Technical part | $26.92 | $42.66 | $165.96 |
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 $57.54 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $27.54 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $109.65 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $109.65 | $117.49 |
Where Missouri sits
The same service costs 5.1 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· 25th of 51
$214
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.