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 $204.17 Median $204.17 Typical High $389.05 | Facility | None | $204.17 | $204.17 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $204.17 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $34.67 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $169.82 | $173.78 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $229.09 | $295.12 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $57.54 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $229.09 | $346.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $436.52 | Facility | None | $173.78 | $245.47 | $436.52 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $229.09 | $239.88 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $1,380.38 | Facility | None | $524.81 | $724.44 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $165.96 | $295.12 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $26.92 | $47.86 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $245.47 | $380.19 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $478.63 Typical High $1,230.27 | Facility | None | $229.09 | $478.63 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $478.63 Typical High $1,548.82 | Professional | None (both parts) | $251.19 | $478.63 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $75.86 Typical High $371.54 | Professional | 26 · Professional part | $39.81 | $75.86 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $407.38 Typical High $1,288.25 | Professional | TC · Technical part | $208.93 | $407.38 | $1,288.25 |
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 $229.09 Median $316.23 Typical High $776.25 | Professional | None (both parts) | $229.09 | $316.23 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $50.12 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $269.15 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $269.15 | $660.69 |
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 $102.33 Median $104.71 Typical High $123.03 | Professional | 52 · Reduced service | $102.33 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $41.69 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $165.96 Typical High $194.98 | Professional | FX · Film X-ray | $162.18 | $165.96 | $194.98 |
Where Missouri sits
The same service costs 4.6 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· 31st of 51
$295
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.