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 $181.97 Median $181.97 Typical High $602.56 | Facility | None | $181.97 | $181.97 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $181.97 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $20.42 | $21.88 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $162.18 | $165.96 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $199.53 | $239.88 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $34.67 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $199.53 | $316.23 |
BCBS Kansas City Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $380.19 | Facility | None | $151.36 | $213.80 | $380.19 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $213.80 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $213.80 | $218.78 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $1,380.38 | Facility | None | $467.74 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $134.90 | $257.04 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $16.60 | $29.51 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $131.83 | $234.42 | $354.81 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $436.52 Typical High $1,230.27 | Facility | None | $208.93 | $436.52 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $1,348.96 | Professional | None (both parts) | $218.78 | $416.87 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $46.77 Typical High $331.13 | Professional | 26 · Professional part | $24.55 | $46.77 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $380.19 Typical High $1,202.26 | Professional | TC · Technical part | $190.55 | $380.19 | $1,202.26 |
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 $194.98 Median $275.42 Typical High $707.95 | Professional | None (both parts) | $194.98 | $275.42 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $79.43 | Professional | 26 · Professional part | $23.99 | $30.90 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $630.96 | Professional | TC · Technical part | $173.78 | $239.88 | $630.96 |
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 $91.20 Median $95.50 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $38.02 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $151.36 | $177.83 |
Where Missouri sits
The same service costs 4.8 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· 33rd of 51
$251
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.