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 $1,174.90 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,174.90 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,174.90 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,148.15 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,202.26 Typical High $2,290.87 | Professional | None (both parts) | $912.01 | $1,202.26 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $112.20 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $112.20 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,148.15 Typical High $2,137.96 | Professional | TC · Technical part | $741.31 | $1,148.15 | $2,137.96 |
BCBS Kansas City Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $302.00 | Facility | None | $123.03 | $158.49 | $302.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $79.43 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,380.38 Typical High $4,570.88 | Facility | None | $912.01 | $1,380.38 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $316.23 | $436.52 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $60.26 | $87.10 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $257.04 | $354.81 | $588.84 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $1,659.59 Typical High $4,073.80 | Facility | None | $114.82 | $1,659.59 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,137.96 Typical High $10,000.00 | Professional | None (both parts) | $1,023.29 | $2,137.96 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $123.03 Typical High $3,162.28 | Professional | 26 · Professional part | $75.86 | $123.03 | $3,162.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,819.70 Typical High $7,244.36 | Professional | TC · Technical part | $933.25 | $1,819.70 | $7,244.36 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,265.80 | Facility | None | $4,073.80 | $4,073.80 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,548.82 Typical High $3,235.94 | Professional | None (both parts) | $1,023.29 | $1,548.82 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $91.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,445.44 Typical High $3,019.95 | Professional | TC · Technical part | $954.99 | $1,445.44 | $3,019.95 |
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 $588.84 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $588.84 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | FX · Film X-ray | $933.25 | $1,047.13 | $1,047.13 |
Where Missouri sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 35th of 51
$1,288
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.