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 $186.21 Median $186.21 Typical High $426.58 | Facility | None | $186.21 | $186.21 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $186.21 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $47.86 | $52.48 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $138.04 | $141.25 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $75.86 | $229.09 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $79.43 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $251.19 | $354.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $741.31 | Facility | None | $263.03 | $309.03 | $741.31 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $223.87 | $229.09 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $1,348.96 | Facility | None | $478.63 | $602.56 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $141.25 | $275.42 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $70.79 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $204.17 | $338.84 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $446.68 Typical High $1,230.27 | Facility | None | $213.80 | $446.68 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $2,089.30 | Professional | None (both parts) | $239.88 | $436.52 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $112.20 Typical High $851.14 | Professional | 26 · Professional part | $60.26 | $112.20 | $851.14 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $1,548.82 | Professional | TC · Technical part | $177.83 | $323.59 | $1,548.82 |
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 $223.87 Median $309.03 Typical High $724.44 | Professional | None (both parts) | $223.87 | $309.03 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $74.13 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $524.81 | Professional | TC · Technical part | $165.96 | $239.88 | $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 $93.33 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $38.90 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $154.88 Typical High $181.97 | Professional | FX · Film X-ray | $147.91 | $154.88 | $181.97 |
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· 38th 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.