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 $316.23 Typical High $588.84 | Facility | None | $281.84 | $316.23 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $281.84 | $316.23 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $46.77 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $269.15 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $61.66 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $295.12 | $354.81 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $72.44 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $229.09 | $288.40 | $467.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $512.86 | Facility | None | $204.17 | $288.40 | $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 $407.38 Typical High $630.96 | Professional | None (both parts) | $229.09 | $407.38 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $61.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $346.74 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $346.74 | $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 $338.84 Median $660.69 Typical High $2,137.96 | Professional | None (both parts) | $338.84 | $660.69 | $2,137.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $346.74 | Professional | 26 · Professional part | $51.29 | $97.72 | $346.74 |
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 $436.52 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $436.52 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $162.18 | Professional | 26 · Professional part | $48.98 | $64.57 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $912.01 | Professional | TC · Technical part | $263.03 | $371.54 | $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 $138.04 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $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 $269.15 | Professional | FX · Film X-ray | $223.87 | $229.09 | $269.15 |
Where Missouri sits
The same service costs 4.7 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· 29th 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.