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 $141.25 Median $141.25 Typical High $302.00 | Facility | None | $141.25 | $141.25 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $141.25 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $15.14 | Professional | 26 · Professional part | $12.30 | $13.18 | $15.14 |
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 $112.20 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $112.20 | $169.82 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.38 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $21.38 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $158.49 | $257.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $263.03 | Facility | None | $67.61 | $95.50 | $263.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $162.18 | $169.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $1,737.80 | Facility | None | $407.38 | $562.34 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $104.71 | $208.93 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $10.00 | $18.62 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $190.55 | $288.40 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $501.19 Typical High $1,659.59 | Facility | None | $162.18 | $501.19 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $331.13 Typical High $1,071.52 | Professional | None (both parts) | $165.96 | $331.13 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $28.84 Typical High $141.25 | Professional | 26 · Professional part | $15.49 | $28.84 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $309.03 Typical High $977.24 | Professional | TC · Technical part | $158.49 | $309.03 | $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 $162.18 Median $223.87 Typical High $549.54 | Professional | None (both parts) | $162.18 | $223.87 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $47.86 | Professional | 26 · Professional part | $14.45 | $19.05 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $501.19 | Professional | TC · Technical part | $147.91 | $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 $70.79 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $29.51 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $117.49 Typical High $138.04 | Professional | FX · Film X-ray | $114.82 | $117.49 | $138.04 |
Where Missouri sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 33rd of 51
$200
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.