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 $93.33 Median $93.33 Typical High $223.87 | Facility | None | $93.33 | $93.33 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $93.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $21.38 | $22.91 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $72.44 | $79.43 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $100.00 | $173.78 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $138.04 | $218.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $147.91 Median $169.82 Typical High $416.87 | Facility | None | $147.91 | $169.82 | $416.87 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $114.82 | $120.23 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $1,348.96 | Facility | None | $263.03 | $331.13 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $144.54 Typical High $239.88 | Professional | None (both parts) | $79.43 | $144.54 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $17.78 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $60.26 | $109.65 | $186.21 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $234.42 Typical High $1,230.27 | Facility | None | $112.20 | $234.42 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $218.78 Typical High $1,023.29 | Professional | None (both parts) | $120.23 | $218.78 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $275.42 | Professional | 26 · Professional part | $28.18 | $51.29 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $870.96 | Professional | TC · Technical part | $91.20 | $165.96 | $870.96 |
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 $112.20 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $112.20 | $165.96 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $83.18 | Professional | 26 · Professional part | $25.70 | $37.15 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $281.84 | Professional | TC · Technical part | $85.11 | $131.83 | $281.84 |
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 $46.77 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $20.42 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $81.28 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $81.28 | $91.20 |
Where Missouri sits
The same service costs 4.6 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· 21st of 51
$182
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.