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 $89.13 Median $89.13 Typical High $204.17 | Facility | None | $89.13 | $89.13 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $89.13 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $18.20 | $19.95 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $70.79 | $75.86 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $95.50 | $169.82 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $35.48 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $35.48 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $131.83 | $177.83 |
BCBS Kansas City Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $338.84 | Facility | None | $134.90 | $165.96 | $338.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $109.65 | $114.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $1,348.96 | Facility | None | $257.04 | $323.59 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $74.13 | $138.04 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $15.14 | $28.18 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $58.88 | $107.15 | $181.97 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $1,230.27 | Facility | None | $107.15 | $223.87 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $204.17 Typical High $831.76 | Professional | None (both parts) | $112.20 | $204.17 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $199.53 | Professional | 26 · Professional part | $23.99 | $42.66 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $162.18 Typical High $707.95 | Professional | TC · Technical part | $89.13 | $162.18 | $707.95 |
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 $107.15 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $107.15 | $154.88 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $70.79 | Professional | 26 · Professional part | $21.88 | $30.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $83.18 | $125.89 | $275.42 |
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 $44.67 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $19.50 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $87.10 | Professional | FX · Film X-ray | $72.44 | $77.62 | $87.10 |
Where Missouri sits
The same service costs 5.1 times more in Alabama 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· 18th of 51
$170
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.