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 $60.26 Median $60.26 Typical High $144.54 | Facility | None | $60.26 | $60.26 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $74.13 | Professional | None (both parts) | $60.26 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $10.00 | Professional | 26 · Professional part | $8.32 | $8.91 | $10.00 |
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 $64.57 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $64.57 | $104.71 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $15.85 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $91.20 | $112.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $186.21 | Facility | None | $75.86 | $104.71 | $186.21 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $117.49 | Professional | None (both parts) | $75.86 | $79.43 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $1,348.96 | Facility | None | $190.55 | $239.88 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $51.29 | $93.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $6.92 | $12.30 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $43.65 | $77.62 | $134.90 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $151.36 Typical High $1,230.27 | Facility | None | $72.44 | $151.36 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $138.04 Typical High $457.09 | Professional | None (both parts) | $75.86 | $138.04 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.50 Typical High $134.90 | Professional | 26 · Professional part | $10.72 | $19.50 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $398.11 | Professional | TC · Technical part | $64.57 | $120.23 | $398.11 |
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 $70.79 Median $109.65 Typical High $234.42 | Professional | None (both parts) | $70.79 | $109.65 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.13 Typical High $32.36 | Professional | 26 · Professional part | $9.77 | $14.13 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $61.66 | $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 $30.20 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $30.20 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.18 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $13.18 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | FX · Film X-ray | $48.98 | $52.48 | $58.88 |
Where Missouri sits
The same service costs 7.2 times more in Alabama 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· 18th of 51
$110
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.