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 $281.84 Median $354.81 Typical High $537.03 | Facility | None | $281.84 | $354.81 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $281.84 | $323.59 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $54.95 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $263.03 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $72.44 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $281.84 | $354.81 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $81.28 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $229.09 | $288.40 | $478.63 |
BCBS Kansas City Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $489.78 | Facility | None | $173.78 | $245.47 | $489.78 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $323.59 | $338.84 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,778.28 | Facility | None | $724.44 | $1,023.29 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $213.80 | $426.58 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $40.74 | $72.44 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $549.54 | Professional | TC · Technical part | $173.78 | $354.81 | $549.54 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $1,659.59 | Facility | None | $323.59 | $676.08 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $676.08 Typical High $2,187.76 | Professional | None (both parts) | $338.84 | $676.08 | $2,187.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $112.20 Typical High $346.74 | Professional | 26 · Professional part | $60.26 | $112.20 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $575.44 Typical High $1,819.70 | Professional | TC · Technical part | $269.15 | $575.44 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $1,096.48 | Professional | None (both parts) | $316.23 | $446.68 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $74.13 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $912.01 | Professional | TC · Technical part | $263.03 | $380.19 | $912.01 |
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 $141.25 Median $147.91 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $69.18 | Professional | 53 · Discontinued | $57.54 | $58.88 | $69.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $234.42 Typical High $275.42 | Professional | FX · Film X-ray | $229.09 | $234.42 | $275.42 |
Where Missouri sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$407
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.