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 $489.78 | Facility | None | $269.15 | $269.15 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $269.15 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $30.90 | Professional | 26 · Professional part | $25.70 | $27.54 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $245.47 | $251.19 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $194.98 | $331.13 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $43.65 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $295.12 | $478.63 |
BCBS Kansas City Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $489.78 | Facility | None | $109.65 | $154.88 | $489.78 |
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 $724.44 Median $1,023.29 Typical High $1,778.28 | Facility | None | $724.44 | $1,023.29 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $199.53 | $398.11 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $21.38 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $354.81 Typical High $537.03 | Professional | TC · Technical part | $181.97 | $354.81 | $537.03 |
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 $295.12 Median $645.65 Typical High $2,041.74 | Professional | None (both parts) | $295.12 | $645.65 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $263.03 | Professional | 26 · Professional part | $31.62 | $60.26 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $588.84 Typical High $1,862.09 | Professional | TC · Technical part | $275.42 | $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 $30.20 Median $39.81 Typical High $100.00 | Professional | 26 · Professional part | $30.20 | $39.81 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $389.05 Typical High $954.99 | Professional | TC · Technical part | $269.15 | $389.05 | $954.99 |
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 4.9 times more in Alaska 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· 28th of 51
$380
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.