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 $275.42 Median $331.13 Typical High $512.86 | Facility | None | $275.42 | $331.13 | $512.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $478.63 | Facility | TC · Technical part | $239.88 | $281.84 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $263.03 | $302.00 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $37.15 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $234.42 | $263.03 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $34.67 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $263.03 | $323.59 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $54.95 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $457.09 | Professional | TC · Technical part | $223.87 | $275.42 | $457.09 |
BCBS Kansas City Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $436.52 | Facility | None | $177.83 | $251.19 | $436.52 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $302.00 | $316.23 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,380.38 | Facility | None | $602.56 | $933.25 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $199.53 | $371.54 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $26.92 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $323.59 | $512.86 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $630.96 Typical High $1,348.96 | Facility | None | $288.40 | $630.96 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $630.96 Typical High $2,041.74 | Professional | None (both parts) | $302.00 | $630.96 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $74.13 Typical High $269.15 | Professional | 26 · Professional part | $39.81 | $74.13 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $575.44 Typical High $1,778.28 | Professional | TC · Technical part | $263.03 | $575.44 | $1,778.28 |
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 $295.12 Median $398.11 Typical High $1,023.29 | Professional | None (both parts) | $295.12 | $398.11 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $50.12 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $346.74 Typical High $912.01 | Professional | TC · Technical part | $257.04 | $346.74 | $912.01 |
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 $131.83 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $53.70 | $54.95 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $218.78 Typical High $257.04 | Professional | FX · Film X-ray | $213.80 | $218.78 | $257.04 |
Where Missouri sits
The same service costs 3.5 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· 27th of 51
$372
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.