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 $169.82 Median $169.82 Typical High $309.03 | Facility | None | $169.82 | $169.82 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $169.82 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $134.90 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $190.55 | $275.42 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $63.10 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $208.93 | $269.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $426.58 | Facility | None | $173.78 | $218.78 | $426.58 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $194.98 | $204.17 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $1,348.96 | Facility | None | $380.19 | $575.44 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $128.82 | $245.47 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $54.95 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $107.15 | $190.55 | $288.40 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $407.38 Typical High $1,230.27 | Facility | None | $194.98 | $407.38 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $389.05 Typical High $1,479.11 | Professional | None (both parts) | $208.93 | $389.05 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $89.13 Typical High $489.78 | Professional | 26 · Professional part | $46.77 | $89.13 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $309.03 Typical High $1,047.13 | Professional | TC · Technical part | $162.18 | $309.03 | $1,047.13 |
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 $194.98 Median $257.04 Typical High $660.69 | Professional | None (both parts) | $194.98 | $257.04 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $56.23 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $512.86 | Professional | TC · Technical part | $151.36 | $204.17 | $512.86 |
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 $85.11 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $35.48 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $141.25 Typical High $165.96 | Professional | FX · Film X-ray | $134.90 | $141.25 | $165.96 |
Where Missouri sits
The same service costs 5.0 times more in Alaska 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· 18th of 51
$275
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.