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 $269.15 Median $269.15 Typical High $537.03 | Facility | None | $269.15 | $269.15 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $269.15 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $28.18 | $30.20 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $245.47 | $275.42 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $288.40 | $338.84 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $48.98 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $245.47 | $302.00 | $489.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $537.03 | Facility | None | $218.78 | $302.00 | $537.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $309.03 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $309.03 | $316.23 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,778.28 | Facility | None | $758.58 | $1,023.29 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $218.78 | $398.11 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $363.08 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $363.08 | $575.44 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $645.65 Typical High $1,659.59 | Facility | None | $309.03 | $645.65 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $645.65 Typical High $2,089.30 | Professional | None (both parts) | $331.13 | $645.65 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $338.84 | Professional | 26 · Professional part | $34.67 | $66.07 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $588.84 Typical High $1,862.09 | Professional | TC · Technical part | $295.12 | $588.84 | $1,862.09 |
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 $295.12 Median $426.58 Typical High $1,047.13 | Professional | None (both parts) | $295.12 | $426.58 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $107.15 | Professional | 26 · Professional part | $33.11 | $42.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $389.05 Typical High $933.25 | Professional | TC · Technical part | $269.15 | $389.05 | $933.25 |
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 $134.90 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $66.07 | Professional | 53 · Discontinued | $53.70 | $56.23 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $223.87 Typical High $263.03 | Professional | FX · Film X-ray | $218.78 | $223.87 | $263.03 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 29th of 51
$389
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.