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 $199.53 Median $199.53 Typical High $389.05 | Facility | None | $199.53 | $199.53 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $199.53 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $34.67 | Professional | 26 · Professional part | $28.84 | $30.90 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $169.82 | $173.78 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $218.78 | $295.12 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $48.98 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $234.42 | $338.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $446.68 | Facility | None | $181.97 | $257.04 | $446.68 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $229.09 | $234.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $1,380.38 | Facility | None | $524.81 | $741.31 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $162.18 | $288.40 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $40.74 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $138.04 | $245.47 | $398.11 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $478.63 Typical High $1,230.27 | Facility | None | $229.09 | $478.63 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $457.09 Typical High $1,513.56 | Professional | None (both parts) | $239.88 | $457.09 | $1,513.56 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $251.19 | Professional | 26 · Professional part | $34.67 | $66.07 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $398.11 Typical High $1,288.25 | Professional | TC · Technical part | $204.17 | $398.11 | $1,288.25 |
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 $223.87 Median $309.03 Typical High $776.25 | Professional | None (both parts) | $223.87 | $309.03 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $109.65 | Professional | 26 · Professional part | $33.11 | $42.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $269.15 | $660.69 |
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 $100.00 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $100.00 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $47.86 | Professional | 53 · Discontinued | $39.81 | $41.69 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $165.96 Typical High $194.98 | Professional | FX · Film X-ray | $158.49 | $165.96 | $194.98 |
Where Missouri sits
The same service costs 4.2 times more in Alaska 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· 30th of 51
$295
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.