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 $870.96 Median $870.96 Typical High $1,479.11 | Facility | None | $870.96 | $870.96 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,000.00 Typical High $1,122.02 | Professional | None (both parts) | $870.96 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $95.50 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $912.01 Typical High $1,023.29 | Professional | TC · Technical part | $794.33 | $912.01 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,023.29 Typical High $1,819.70 | Professional | None (both parts) | $398.11 | $1,023.29 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $147.91 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $912.01 Typical High $1,621.81 | Professional | TC · Technical part | $223.87 | $912.01 | $1,621.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $1,412.54 | Facility | None | $173.78 | $245.47 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,148.15 Typical High $1,659.59 | Professional | None (both parts) | $1,071.52 | $1,148.15 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $3,019.95 Typical High $4,466.84 | Facility | None | $1,096.48 | $3,019.95 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,202.26 Typical High $2,041.74 | Professional | None (both parts) | $933.25 | $1,202.26 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $125.89 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $1,862.09 | Professional | TC · Technical part | $831.76 | $1,096.48 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,819.70 Typical High $4,786.30 | Facility | None | $977.24 | $1,819.70 | $4,786.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $2,398.83 Typical High $6,918.31 | Professional | None (both parts) | $1,000.00 | $2,398.83 | $6,918.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $218.78 Typical High $1,148.15 | Professional | 26 · Professional part | $104.71 | $218.78 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $2,187.76 Typical High $6,309.57 | Professional | TC · Technical part | $891.25 | $2,187.76 | $6,309.57 |
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 $933.25 Median $1,202.26 Typical High $2,187.76 | Professional | None (both parts) | $933.25 | $1,202.26 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $229.09 | Professional | 26 · Professional part | $100.00 | $117.49 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,096.48 Typical High $1,995.26 | Professional | TC · Technical part | $831.76 | $1,096.48 | $1,995.26 |
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 $436.52 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $204.17 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $204.17 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $707.95 Median $812.83 Typical High $912.01 | Professional | FX · Film X-ray | $707.95 | $812.83 | $912.01 |
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· 31st of 51
$1,148
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.