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 $426.58 Median $426.58 Typical High $562.34 | Facility | None | $426.58 | $426.58 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $512.86 Typical High $588.84 | Professional | None (both parts) | $426.58 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $70.79 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $446.68 Typical High $562.34 | Professional | TC · Technical part | $338.84 | $446.68 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $302.00 | $446.68 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $109.65 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $169.82 | $363.08 | $758.58 |
BCBS Kansas City Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $537.03 | Facility | None | $131.83 | $181.97 | $537.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $467.74 Median $588.84 Typical High $851.14 | Professional | None (both parts) | $467.74 | $588.84 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,479.11 Typical High $2,187.76 | Facility | None | $575.44 | $1,479.11 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $524.81 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $93.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $446.68 Typical High $870.96 | Professional | TC · Technical part | $371.54 | $446.68 | $870.96 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $776.25 Typical High $2,454.71 | Facility | None | $457.09 | $776.25 | $2,454.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,202.26 Typical High $3,235.94 | Professional | None (both parts) | $416.87 | $1,202.26 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $162.18 Typical High $1,047.13 | Professional | 26 · Professional part | $77.62 | $162.18 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,023.29 Typical High $2,818.38 | Professional | TC · Technical part | $338.84 | $1,023.29 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Facility | None | $1,202.26 | $1,202.26 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $537.03 Typical High $1,071.52 | Professional | None (both parts) | $416.87 | $537.03 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $87.10 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $457.09 Typical High $912.01 | Professional | TC · Technical part | $338.84 | $457.09 | $912.01 |
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 $213.80 Median $257.04 Typical High $275.42 | Professional | 52 · Reduced service | $213.80 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $112.20 | Professional | 53 · Discontinued | $87.10 | $102.33 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $407.38 Typical High $446.68 | Professional | FX · Film X-ray | $346.74 | $407.38 | $446.68 |
Where Missouri sits
The same service costs 6.3 times more in Alaska than in Kentucky. 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· 32nd of 51
$525
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.