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 $138.04 Median $138.04 Typical High $281.84 | Facility | None | $138.04 | $138.04 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $138.04 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $19.95 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $131.83 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $154.88 | $208.93 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $21.38 | $31.62 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $169.82 | $245.47 |
BCBS Kansas City Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $323.59 | Facility | None | $131.83 | $181.97 | $323.59 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $158.49 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $1,348.96 | Facility | None | $380.19 | $524.81 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $104.71 | $204.17 | $323.59 |
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 $97.72 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $177.83 | $281.84 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $331.13 Typical High $1,230.27 | Facility | None | $158.49 | $331.13 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $1,047.13 | Professional | None (both parts) | $169.82 | $323.59 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $42.66 Typical High $302.00 | Professional | 26 · Professional part | $22.91 | $42.66 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $288.40 Typical High $912.01 | Professional | TC · Technical part | $147.91 | $288.40 | $912.01 |
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 $158.49 Median $223.87 Typical High $537.03 | Professional | None (both parts) | $158.49 | $223.87 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $70.79 | Professional | 26 · Professional part | $21.38 | $28.18 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $467.74 | Professional | TC · Technical part | $138.04 | $190.55 | $467.74 |
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 $69.18 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $69.18 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $27.54 | $28.84 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $114.82 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $114.82 | $134.90 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Florida. 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
$209
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.