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 $162.18 Median $162.18 Typical High $389.05 | Facility | None | $162.18 | $162.18 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $199.53 | Professional | None (both parts) | $162.18 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $23.99 | $26.30 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $141.25 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $186.21 | $281.84 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $45.71 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $154.88 | $229.09 | $288.40 |
BCBS Kansas City Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $436.52 | Facility | None | $177.83 | $245.47 | $436.52 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $190.55 | $199.53 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $1,348.96 | Facility | None | $478.63 | $602.56 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $131.83 | $245.47 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $19.95 | $36.31 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $208.93 | $338.84 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $389.05 Typical High $1,230.27 | Facility | None | $186.21 | $389.05 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $389.05 Typical High $1,258.93 | Professional | None (both parts) | $208.93 | $389.05 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $234.42 | Professional | 26 · Professional part | $31.62 | $57.54 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $338.84 Typical High $1,071.52 | Professional | TC · Technical part | $181.97 | $338.84 | $1,071.52 |
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 $630.96 | Professional | None (both parts) | $194.98 | $288.40 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $93.33 | Professional | 26 · Professional part | $28.84 | $42.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $245.47 | $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 $81.28 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $33.88 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $134.90 Typical High $158.49 | Professional | FX · Film X-ray | $128.82 | $134.90 | $158.49 |
Where Missouri sits
The same service costs 4.4 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· 19th of 51
$288
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.