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 $169.82 Median $169.82 Typical High $389.05 | Facility | None | $169.82 | $169.82 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $169.82 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $20.42 | $22.91 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $147.91 | $158.49 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $173.78 | $204.17 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $36.31 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $177.83 | $295.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $302.00 | Facility | None | $123.03 | $173.78 | $302.00 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $199.53 | $208.93 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $4,570.88 | Facility | None | $446.68 | $660.69 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $131.83 | $239.88 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $16.98 | $28.84 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $213.80 | $331.13 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $3,162.28 | Facility | None | $199.53 | $416.87 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $389.05 Typical High $1,288.25 | Professional | None (both parts) | $204.17 | $389.05 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $213.80 | Professional | 26 · Professional part | $25.12 | $46.77 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $1,148.15 | Professional | TC · Technical part | $173.78 | $354.81 | $1,148.15 |
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 $181.97 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $181.97 | $263.03 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $79.43 | Professional | 26 · Professional part | $23.99 | $30.90 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $575.44 | Professional | TC · Technical part | $158.49 | $229.09 | $575.44 |
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 $85.11 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $36.31 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $144.54 Typical High $165.96 | Professional | FX · Film X-ray | $134.90 | $144.54 | $165.96 |
Where Missouri sits
The same service costs 4.6 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· 32nd of 51
$234
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.