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 $144.54 Median $144.54 Typical High $251.19 | Facility | None | $144.54 | $144.54 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $144.54 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $18.62 | $19.95 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $125.89 | $128.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $141.25 | $169.82 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $120.23 | $141.25 | $245.47 |
BCBS Kansas City Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $239.88 | Facility | None | $93.33 | $131.83 | $239.88 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $165.96 | $169.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,348.96 | Facility | None | $354.81 | $549.54 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $107.15 | $204.17 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $15.49 | $28.18 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $177.83 | $275.42 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $346.74 Typical High $1,230.27 | Facility | None | $162.18 | $346.74 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $331.13 Typical High $1,071.52 | Professional | None (both parts) | $165.96 | $331.13 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $44.67 Typical High $165.96 | Professional | 26 · Professional part | $22.91 | $44.67 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $954.99 | Professional | TC · Technical part | $141.25 | $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 $154.88 Median $218.78 Typical High $549.54 | Professional | None (both parts) | $154.88 | $218.78 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $72.44 | Professional | 26 · Professional part | $21.88 | $28.84 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $186.21 | $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 $72.44 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $28.84 | $30.20 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | FX · Film X-ray | $114.82 | $120.23 | $141.25 |
Where Missouri sits
The same service costs 4.7 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· 29th of 51
$200
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.