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 $309.03 Median $338.84 Typical High $407.38 | Facility | None | $309.03 | $338.84 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $338.84 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $199.53 Typical High $213.80 | Professional | 26 · Professional part | $165.96 | $199.53 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $208.93 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $17,378.01 Typical High $21,877.62 | Facility | None | $8,709.64 | $17,378.01 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $371.54 | $446.68 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $302.00 Typical High $389.05 | Professional | 26 · Professional part | $199.53 | $302.00 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $194.98 | $363.08 |
BCBS Kansas City Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $288.40 | Facility | None | $107.15 | $151.36 | $288.40 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $691.83 | Professional | None (both parts) | $436.52 | $467.74 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $812.83 Typical High $1,995.26 | Facility | None | $436.52 | $812.83 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $380.19 | $478.63 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $251.19 Typical High $436.52 | Professional | 26 · Professional part | $190.55 | $251.19 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $229.09 | $407.38 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $912.01 Typical High $5,623.41 | Facility | None | $416.87 | $912.01 | $5,623.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $954.99 Typical High $3,162.28 | Professional | None (both parts) | $380.19 | $954.99 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $457.09 Typical High $1,584.89 | Professional | 26 · Professional part | $199.53 | $457.09 | $1,584.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $478.63 Typical High $1,348.96 | Professional | TC · Technical part | $181.97 | $478.63 | $1,348.96 |
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 $371.54 Median $467.74 Typical High $851.14 | Professional | None (both parts) | $371.54 | $467.74 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $239.88 Typical High $457.09 | Professional | 26 · Professional part | $194.98 | $239.88 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $181.97 | $229.09 | $426.58 |
4 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 $169.82 Median $204.17 Typical High $218.78 | Professional | 52 · Reduced service | $169.82 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $288.40 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $239.88 | $288.40 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $323.59 Typical High $354.81 | Professional | FX · Film X-ray | $275.42 | $323.59 | $354.81 |
Where Missouri sits
The same service costs 5.6 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· 32nd of 51
$468
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.