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 $524.81 Median $524.81 Typical High $616.60 | Facility | None | $524.81 | $524.81 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $524.81 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | 26 · Professional part | $69.18 | $81.28 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $524.81 Typical High $588.84 | Professional | TC · Technical part | $457.09 | $524.81 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $302.00 | $501.19 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $125.89 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $407.38 Typical High $912.01 | Professional | TC · Technical part | $169.82 | $407.38 | $912.01 |
BCBS Kansas City Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $758.58 | Facility | None | $131.83 | $181.97 | $758.58 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $426.58 Median $794.33 Typical High $1,148.15 | Professional | None (both parts) | $426.58 | $794.33 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,949.84 Typical High $2,511.89 | Facility | None | $1,000.00 | $1,949.84 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $616.60 Typical High $1,174.90 | Professional | None (both parts) | $436.52 | $616.60 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $107.15 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $524.81 Typical High $1,000.00 | Professional | TC · Technical part | $363.08 | $524.81 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,258.93 Typical High $6,025.60 | Facility | None | $478.63 | $1,258.93 | $6,025.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,445.44 Typical High $4,168.69 | Professional | None (both parts) | $512.86 | $1,445.44 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $190.55 Typical High $676.08 | Professional | 26 · Professional part | $85.11 | $190.55 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,258.93 Typical High $3,715.35 | Professional | TC · Technical part | $457.09 | $1,258.93 | $3,715.35 |
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 $512.86 Median $691.83 Typical High $1,288.25 | Professional | None (both parts) | $512.86 | $691.83 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $102.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $588.84 Typical High $1,122.02 | Professional | TC · Technical part | $446.68 | $588.84 | $1,122.02 |
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 $263.03 Median $302.00 Typical High $338.84 | Professional | 52 · Reduced service | $263.03 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $120.23 Typical High $134.90 | Professional | 53 · Discontinued | $104.71 | $120.23 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $478.63 Typical High $537.03 | Professional | FX · Film X-ray | $416.87 | $478.63 | $537.03 |
Where Missouri sits
The same service costs 6.0 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· 36th of 51
$631
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.