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 $151.36 Median $151.36 Typical High $288.40 | Facility | None | $151.36 | $151.36 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $151.36 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $31.62 | $34.67 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $134.90 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $162.18 | $190.55 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $54.95 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $144.54 | $245.47 |
BCBS Kansas City Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $245.47 | Facility | None | $97.72 | $134.90 | $245.47 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $177.83 | $186.21 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $1,348.96 | Facility | None | $389.05 | $524.81 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $123.03 | $218.78 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $26.30 | $45.71 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $89.13 | $173.78 | $275.42 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $363.08 Typical High $1,230.27 | Facility | None | $173.78 | $363.08 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $1,148.15 | Professional | None (both parts) | $186.21 | $354.81 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $74.13 Typical High $316.23 | Professional | 26 · Professional part | $39.81 | $74.13 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $288.40 Typical High $933.25 | Professional | TC · Technical part | $144.54 | $288.40 | $933.25 |
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 $173.78 Median $239.88 Typical High $588.84 | Professional | None (both parts) | $173.78 | $239.88 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $123.03 | Professional | 26 · Professional part | $37.15 | $48.98 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $467.74 | Professional | TC · Technical part | $138.04 | $190.55 | $467.74 |
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 $75.86 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $31.62 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $125.89 Typical High $147.91 | Professional | FX · Film X-ray | $120.23 | $125.89 | $147.91 |
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· 31st of 51
$214
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.