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 $776.25 Median $776.25 Typical High $1,071.52 | Facility | None | $776.25 | $776.25 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $891.25 Typical High $1,000.00 | Professional | None (both parts) | $776.25 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $97.72 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $831.76 Typical High $933.25 | Professional | TC · Technical part | $707.95 | $831.76 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $758.58 Typical High $1,621.81 | Professional | None (both parts) | $398.11 | $758.58 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $151.36 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $151.36 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $645.65 Typical High $1,445.44 | Professional | TC · Technical part | $223.87 | $645.65 | $1,445.44 |
BCBS Kansas City Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $933.25 | Facility | None | $173.78 | $245.47 | $933.25 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,122.02 Typical High $1,621.81 | Professional | None (both parts) | $851.14 | $1,122.02 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,691.53 Typical High $3,890.45 | Facility | None | $1,318.26 | $2,691.53 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $954.99 Typical High $1,778.28 | Professional | None (both parts) | $776.25 | $954.99 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $128.82 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $812.83 Typical High $1,584.89 | Professional | TC · Technical part | $660.69 | $812.83 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,995.26 Typical High $4,265.80 | Facility | None | $794.33 | $1,995.26 | $4,265.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $707.95 Median $2,137.96 Typical High $6,456.54 | Professional | None (both parts) | $707.95 | $2,137.96 | $6,456.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $229.09 Typical High $1,412.54 | Professional | 26 · Professional part | $109.65 | $229.09 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,949.84 Typical High $5,754.40 | Professional | TC · Technical part | $616.60 | $1,949.84 | $5,754.40 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,344.23 | Facility | None | $2,187.76 | $2,187.76 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $977.24 Typical High $1,905.46 | Professional | None (both parts) | $707.95 | $977.24 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $123.03 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $870.96 Typical High $1,737.80 | Professional | TC · Technical part | $616.60 | $870.96 | $1,737.80 |
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 $389.05 Median $446.68 Typical High $501.19 | Professional | 52 · Reduced service | $389.05 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $177.83 Typical High $204.17 | Professional | 53 · Discontinued | $154.88 | $177.83 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $630.96 Median $707.95 Typical High $812.83 | Professional | FX · Film X-ray | $630.96 | $707.95 | $812.83 |
Where Missouri sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 40th of 51
$933
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.