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 $281.84 Median $281.84 Typical High $524.81 | Facility | None | $281.84 | $281.84 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $281.84 | $316.23 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $123.03 | Professional | 26 · Professional part | $40.74 | $45.71 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $239.88 | $269.15 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $302.00 | $354.81 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $70.79 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $288.40 | $478.63 |
BCBS Kansas City Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $512.86 | Facility | None | $208.93 | $295.12 | $512.86 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $316.23 | $331.13 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,380.38 | Facility | None | $616.60 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $229.09 | $416.87 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $33.88 | $60.26 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $354.81 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $354.81 | $549.54 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,412.54 | Facility | None | $316.23 | $660.69 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $660.69 Typical High $2,137.96 | Professional | None (both parts) | $346.74 | $660.69 | $2,137.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $95.50 Typical High $295.12 | Professional | 26 · Professional part | $50.12 | $95.50 | $295.12 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $575.44 Typical High $1,819.70 | Professional | TC · Technical part | $281.84 | $575.44 | $1,819.70 |
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 $309.03 Median $446.68 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $446.68 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $154.88 | Professional | 26 · Professional part | $47.86 | $63.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $933.25 | Professional | TC · Technical part | $263.03 | $380.19 | $933.25 |
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 $141.25 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $141.25 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | 53 · Discontinued | $56.23 | $57.54 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $229.09 Typical High $275.42 | Professional | FX · Film X-ray | $223.87 | $229.09 | $275.42 |
Where Missouri sits
The same service costs 3.8 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· 28th of 51
$398
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.