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 $58.88 Median $58.88 Typical High $125.89 | Facility | None | $58.88 | $58.88 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $64.57 Typical High $72.44 | Professional | None (both parts) | $58.88 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.41 Typical High $8.32 | Professional | 26 · Professional part | $6.76 | $7.41 | $8.32 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $52.48 | $57.54 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $58.88 | $70.79 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $8.13 | $12.88 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $61.66 | $104.71 |
BCBS Kansas City Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $123.03 | Facility | None | $40.74 | $57.54 | $123.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $74.13 | $77.62 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $4,570.88 | Facility | None | $181.97 | $239.88 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $45.71 | $87.10 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.23 Typical High $17.38 | Professional | 26 · Professional part | $5.75 | $10.23 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $39.81 | $77.62 | $134.90 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $147.91 Typical High $4,073.80 | Facility | None | $70.79 | $147.91 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $134.90 Typical High $446.68 | Professional | None (both parts) | $70.79 | $134.90 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.85 Typical High $123.03 | Professional | 26 · Professional part | $8.71 | $15.85 | $123.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $407.38 | Professional | TC · Technical part | $61.66 | $120.23 | $407.38 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,265.80 | Facility | None | $4,073.80 | $4,073.80 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $104.71 Typical High $229.09 | Professional | None (both parts) | $67.61 | $104.71 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $26.30 | Professional | 26 · Professional part | $8.13 | $11.48 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $58.88 | $93.33 | $204.17 |
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 $29.51 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $29.51 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.88 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $12.88 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $51.29 Typical High $57.54 | Professional | FX · Film X-ray | $47.86 | $51.29 | $57.54 |
Where Missouri sits
The same service costs 8.1 times more in Alabama 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· 37th of 51
$83.18
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.