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 $194.98 Median $194.98 Typical High $467.74 | Facility | None | $194.98 | $194.98 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $194.98 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $64.57 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $138.04 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $218.78 | $371.54 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $104.71 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $151.36 | $257.04 | $436.52 |
BCBS Kansas City Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $831.76 | Facility | None | $275.42 | $338.84 | $831.76 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $229.09 | $239.88 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,737.80 | Facility | None | $467.74 | $588.84 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $147.91 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $50.12 | $87.10 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $208.93 | $331.13 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $467.74 Typical High $2,089.30 | Facility | None | $223.87 | $467.74 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $467.74 Typical High $3,311.31 | Professional | None (both parts) | $257.04 | $467.74 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $141.25 Typical High $1,096.48 | Professional | 26 · Professional part | $75.86 | $141.25 | $1,096.48 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $331.13 Typical High $2,290.87 | Professional | TC · Technical part | $177.83 | $331.13 | $2,290.87 |
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 $234.42 Median $346.74 Typical High $758.58 | Professional | None (both parts) | $234.42 | $346.74 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $229.09 | Professional | 26 · Professional part | $70.79 | $93.33 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $524.81 | Professional | TC · Technical part | $162.18 | $245.47 | $524.81 |
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 $97.72 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $40.74 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $162.18 Typical High $190.55 | Professional | FX · Film X-ray | $154.88 | $162.18 | $190.55 |
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· 19th of 51
$372
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.