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 $223.87 Median $223.87 Typical High $346.74 | Facility | None | $223.87 | $223.87 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $223.87 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $33.88 | $37.15 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $190.55 | $190.55 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $234.42 | $275.42 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $58.88 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $213.80 | $363.08 |
BCBS Kansas City Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $389.05 | Facility | None | $158.49 | $218.78 | $389.05 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $251.19 | $263.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,380.38 | Facility | None | $478.63 | $758.58 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $177.83 | $309.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $28.18 | $50.12 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $245.47 | $416.87 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $524.81 Typical High $1,230.27 | Facility | None | $251.19 | $524.81 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $524.81 Typical High $1,698.24 | Professional | None (both parts) | $257.04 | $524.81 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $81.28 Typical High $309.03 | Professional | 26 · Professional part | $42.66 | $81.28 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $457.09 Typical High $1,445.44 | Professional | TC · Technical part | $213.80 | $457.09 | $1,445.44 |
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 $245.47 Median $323.59 Typical High $870.96 | Professional | None (both parts) | $245.47 | $323.59 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $52.48 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $724.44 | Professional | TC · Technical part | $204.17 | $275.42 | $724.44 |
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 $112.20 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $45.71 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $181.97 Typical High $218.78 | Professional | FX · Film X-ray | $177.83 | $181.97 | $218.78 |
Where Missouri sits
The same service costs 5.0 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· 31st of 51
$309
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.