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 $158.49 Median $158.49 Typical High $346.74 | Facility | None | $158.49 | $158.49 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $158.49 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $32.36 | $35.48 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $154.88 | Professional | TC · Technical part | $125.89 | $131.83 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $186.21 | $263.03 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $57.54 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $147.91 | $204.17 | $257.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $389.05 | Facility | None | $158.49 | $218.78 | $389.05 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $190.55 | $199.53 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,737.80 | Facility | None | $446.68 | $562.34 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $131.83 | $239.88 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $26.92 | $47.86 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $104.71 | $194.98 | $316.23 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $389.05 Typical High $1,659.59 | Facility | None | $186.21 | $389.05 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $1,318.26 | Professional | None (both parts) | $199.53 | $371.54 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $436.52 | Professional | 26 · Professional part | $40.74 | $75.86 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $977.24 | Professional | TC · Technical part | $158.49 | $295.12 | $977.24 |
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 $186.21 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $186.21 | $263.03 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $50.12 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $489.78 | Professional | TC · Technical part | $147.91 | $213.80 | $489.78 |
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 $79.43 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $33.88 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $134.90 Typical High $154.88 | Professional | FX · Film X-ray | $125.89 | $134.90 | $154.88 |
Where Missouri sits
The same service costs 4.7 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· 20th of 51
$269
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.