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 $223.87 Median $223.87 Typical High $501.19 | Facility | None | $223.87 | $223.87 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $223.87 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $34.67 | Professional | 26 · Professional part | $28.84 | $30.90 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $194.98 | $199.53 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $229.09 | $281.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $54.95 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $245.47 | $407.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $147.91 Median $208.93 Typical High $426.58 | Facility | None | $147.91 | $208.93 | $426.58 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $263.03 | $275.42 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $1,380.38 | Facility | None | $602.56 | $776.25 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $169.82 | $331.13 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $23.99 | $41.69 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $295.12 | $478.63 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $524.81 Typical High $1,230.27 | Facility | None | $251.19 | $524.81 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $537.03 Typical High $1,737.80 | Professional | None (both parts) | $275.42 | $537.03 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $354.81 | Professional | 26 · Professional part | $37.15 | $67.61 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $1,513.56 | Professional | TC · Technical part | $239.88 | $478.63 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Facility | None | $1,258.93 | $1,258.93 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $870.96 | Professional | None (both parts) | $263.03 | $371.54 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $112.20 | Professional | 26 · Professional part | $33.88 | $46.77 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $223.87 | $323.59 | $758.58 |
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 $112.20 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $45.71 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $181.97 Typical High $218.78 | Professional | FX · Film X-ray | $177.83 | $181.97 | $218.78 |
Where Missouri sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 33rd of 51
$324
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.