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 $158.49 Median $158.49 Typical High $302.00 | Facility | None | $158.49 | $158.49 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $158.49 | $165.96 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $19.95 | $21.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $154.88 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $173.78 | $204.17 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $34.67 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $169.82 | $281.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $309.03 | Facility | None | $125.89 | $177.83 | $309.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $186.21 | $194.98 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $1,348.96 | Facility | None | $416.87 | $602.56 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $131.83 | $229.09 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $16.60 | $29.51 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $107.15 | $199.53 | $316.23 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $380.19 Typical High $1,230.27 | Facility | None | $181.97 | $380.19 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $1,202.26 | Professional | None (both parts) | $194.98 | $371.54 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $46.77 Typical High $275.42 | Professional | 26 · Professional part | $24.55 | $46.77 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $331.13 Typical High $1,047.13 | Professional | TC · Technical part | $169.82 | $331.13 | $1,047.13 |
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 $173.78 Median $245.47 Typical High $616.60 | Professional | None (both parts) | $173.78 | $245.47 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $77.62 | Professional | 26 · Professional part | $23.44 | $30.90 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $537.03 | Professional | TC · Technical part | $151.36 | $213.80 | $537.03 |
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 $79.43 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $79.43 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.11 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $33.11 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $131.83 Typical High $154.88 | Professional | FX · Film X-ray | $125.89 | $131.83 | $154.88 |
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· 31st of 51
$224
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.