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 $218.78 Median $218.78 Typical High $537.03 | Facility | None | $218.78 | $218.78 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $218.78 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $21.38 | $22.91 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $194.98 | $199.53 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $251.19 | $309.03 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $257.04 | $407.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $489.78 | Facility | None | $199.53 | $281.84 | $489.78 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $257.04 | $263.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $4,570.88 | Facility | None | $676.08 | $851.14 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $162.18 | $331.13 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $17.78 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $158.49 | $295.12 | $478.63 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $512.86 Typical High $4,073.80 | Facility | None | $245.47 | $512.86 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $1,698.24 | Professional | None (both parts) | $275.42 | $524.81 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $371.54 | Professional | 26 · Professional part | $28.18 | $51.29 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $489.78 Typical High $1,548.82 | Professional | TC · Technical part | $251.19 | $489.78 | $1,548.82 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,265.80 | Facility | None | $4,073.80 | $4,073.80 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $851.14 | Professional | None (both parts) | $257.04 | $389.05 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $25.70 | $36.31 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $758.58 | Professional | TC · Technical part | $234.42 | $354.81 | $758.58 |
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 $109.65 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $44.67 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $177.83 Typical High $213.80 | Professional | FX · Film X-ray | $173.78 | $177.83 | $213.80 |
Where Missouri sits
The same service costs 4.3 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· 31st of 51
$331
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.