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 $138.04 Median $138.04 Typical High $316.23 | Facility | None | $138.04 | $138.04 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $138.04 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $17.38 | Professional | 26 · Professional part | $14.13 | $15.49 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $123.03 | $125.89 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $141.25 | $169.82 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $16.98 | $26.92 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $151.36 | $251.19 |
BCBS Kansas City Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $309.03 | Facility | None | $102.33 | $141.25 | $309.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $162.18 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $1,348.96 | Facility | None | $426.58 | $537.03 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $107.15 | $204.17 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $11.75 | $21.38 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $89.13 | $181.97 | $302.00 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $323.59 Typical High $1,230.27 | Facility | None | $154.88 | $323.59 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $1,047.13 | Professional | None (both parts) | $169.82 | $323.59 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.11 Typical High $208.93 | Professional | 26 · Professional part | $18.20 | $33.11 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $954.99 | Professional | TC · Technical part | $151.36 | $295.12 | $954.99 |
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 $162.18 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $162.18 | $245.47 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $54.95 | Professional | 26 · Professional part | $16.98 | $23.99 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $218.78 | $478.63 |
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 $67.61 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $28.18 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $112.20 Typical High $131.83 | Professional | FX · Film X-ray | $109.65 | $112.20 | $131.83 |
Where Missouri sits
The same service costs 4.5 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· 32nd of 51
$204
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.