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 $147.91 Median $147.91 Typical High $281.84 | Facility | None | $147.91 | $147.91 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $147.91 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $21.88 | Professional | 26 · Professional part | $17.78 | $19.50 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $128.82 | $134.90 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $165.96 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $31.62 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $162.18 | $257.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $302.00 | Facility | None | $123.03 | $173.78 | $302.00 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $173.78 | $181.97 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $1,348.96 | Facility | None | $398.11 | $562.34 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $120.23 | $218.78 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $15.14 | $26.92 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $104.71 | $190.55 | $295.12 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $1,584.89 | Facility | None | $169.82 | $524.81 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $1,122.02 | Professional | None (both parts) | $181.97 | $346.74 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $42.66 Typical High $208.93 | Professional | 26 · Professional part | $22.39 | $42.66 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $316.23 Typical High $1,000.00 | Professional | TC · Technical part | $154.88 | $316.23 | $1,000.00 |
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 $162.18 Median $229.09 Typical High $562.34 | Professional | None (both parts) | $162.18 | $229.09 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $69.18 | Professional | 26 · Professional part | $21.38 | $28.18 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $204.17 | $501.19 |
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 $74.13 Median $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $30.90 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $123.03 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $123.03 | $144.54 |
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· 30th of 51
$214
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.