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 $173.78 Median $173.78 Typical High $338.84 | Facility | None | $173.78 | $173.78 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $173.78 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $29.51 | $31.62 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $144.54 | $151.36 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $190.55 | $223.87 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $52.48 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $181.97 | $295.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $316.23 | Facility | None | $123.03 | $173.78 | $316.23 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $213.80 | $223.87 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $1,348.96 | Facility | None | $478.63 | $630.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $141.25 | $257.04 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $23.99 | $43.65 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $218.78 | $346.74 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $1,230.27 | Facility | None | $199.53 | $416.87 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $407.38 Typical High $1,318.26 | Professional | None (both parts) | $213.80 | $407.38 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $69.18 Typical High $245.47 | Professional | 26 · Professional part | $36.31 | $69.18 | $245.47 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $1,096.48 | Professional | TC · Technical part | $173.78 | $354.81 | $1,096.48 |
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 $194.98 Median $288.40 Typical High $676.08 | Professional | None (both parts) | $194.98 | $288.40 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $114.82 | Professional | 26 · Professional part | $34.67 | $45.71 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $245.47 | $562.34 |
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 $87.10 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $36.31 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | FX · Film X-ray | $138.04 | $144.54 | $169.82 |
Where Missouri sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 30th of 51
$251
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.