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 $134.90 Median $134.90 Typical High $281.84 | Facility | None | $134.90 | $134.90 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $134.90 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $38.02 | Professional | 26 · Professional part | $31.62 | $34.67 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $109.65 Typical High $128.82 | Professional | TC · Technical part | $104.71 | $109.65 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $177.83 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $54.95 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $151.36 | $234.42 |
BCBS Kansas City Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $281.84 | Facility | None | $114.82 | $158.49 | $281.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $173.78 | $181.97 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $4,570.88 | Facility | None | $371.54 | $467.74 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $102.33 | $223.87 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $26.30 | $47.86 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $85.11 | $169.82 | $263.03 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $3,162.28 | Facility | None | $162.18 | $331.13 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $1,096.48 | Professional | None (both parts) | $173.78 | $338.84 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $74.13 Typical High $316.23 | Professional | 26 · Professional part | $38.90 | $74.13 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $269.15 Typical High $870.96 | Professional | TC · Technical part | $138.04 | $269.15 | $870.96 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $162.18 | $245.47 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $123.03 | Professional | 26 · Professional part | $37.15 | $47.86 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $407.38 | Professional | TC · Technical part | $123.03 | $190.55 | $407.38 |
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 $67.61 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $28.84 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $114.82 Typical High $131.83 | Professional | FX · Film X-ray | $109.65 | $114.82 | $131.83 |
Where Missouri sits
The same service costs 4.8 times more in Alabama than in Texas. 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· 30th 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.