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 $144.54 Median $144.54 Typical High $338.84 | Facility | None | $144.54 | $144.54 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $144.54 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $42.66 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $104.71 | $107.15 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $162.18 | $269.15 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $69.18 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $186.21 | $288.40 |
BCBS Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $562.34 | Facility | None | $208.93 | $245.47 | $562.34 |
BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $169.82 | $177.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $1,737.80 | Facility | None | $363.08 | $446.68 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $109.65 | $213.80 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $33.11 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $154.88 | $257.04 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $346.74 Typical High $1,659.59 | Facility | None | $165.96 | $346.74 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $338.84 Typical High $1,412.54 | Professional | None (both parts) | $186.21 | $338.84 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $95.50 Typical High $537.03 | Professional | 26 · Professional part | $50.12 | $95.50 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $1,174.90 | Professional | TC · Technical part | $134.90 | $245.47 | $1,174.90 |
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 $173.78 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $173.78 | $245.47 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $154.88 | Professional | 26 · Professional part | $46.77 | $61.66 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $407.38 | Professional | TC · Technical part | $125.89 | $186.21 | $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 $72.44 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $30.20 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | FX · Film X-ray | $114.82 | $120.23 | $141.25 |
Where Missouri sits
The same service costs 4.8 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.