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 $371.54 Median $446.68 Typical High $537.03 | Facility | None | $371.54 | $446.68 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $446.68 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $302.00 Typical High $323.59 | Professional | 26 · Professional part | $251.19 | $302.00 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $257.04 | Professional | TC · Technical part | $199.53 | $239.88 | $257.04 |
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 $501.19 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $501.19 | $660.69 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $457.09 Typical High $588.84 | Professional | 26 · Professional part | $295.12 | $457.09 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $416.87 | Professional | TC · Technical part | $199.53 | $218.78 | $416.87 |
BCBS Kansas City Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $380.19 | Facility | None | $154.88 | $218.78 | $380.19 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $575.44 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $575.44 | $616.60 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $933.25 Typical High $1,995.26 | Facility | None | $512.86 | $933.25 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $630.96 Typical High $1,071.52 | Professional | None (both parts) | $501.19 | $630.96 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $380.19 Typical High $645.65 | Professional | 26 · Professional part | $288.40 | $380.19 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $269.15 | $467.74 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,202.26 Typical High $5,623.41 | Facility | None | $588.84 | $1,202.26 | $5,623.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,230.27 Typical High $3,388.44 | Professional | None (both parts) | $512.86 | $1,230.27 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $691.83 Typical High $2,344.23 | Professional | 26 · Professional part | $302.00 | $691.83 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $549.54 Typical High $1,862.09 | Professional | TC · Technical part | $208.93 | $549.54 | $1,862.09 |
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 $501.19 Median $616.60 Typical High $1,148.15 | Professional | None (both parts) | $501.19 | $616.60 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $363.08 Typical High $691.83 | Professional | 26 · Professional part | $295.12 | $363.08 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $208.93 | $263.03 | $489.78 |
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 $223.87 Median $269.15 Typical High $288.40 | Professional | 52 · Reduced service | $223.87 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $107.15 Typical High $114.82 | Professional | 53 · Discontinued | $89.13 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $380.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $316.23 | $380.19 | $407.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $426.58 Typical High $467.74 | Professional | FX · Film X-ray | $363.08 | $426.58 | $467.74 |
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· 24th of 51
$661
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.