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 $190.55 Median $213.80 Typical High $363.08 | Facility | None | $190.55 | $213.80 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $190.55 | $213.80 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $43.65 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $169.82 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $213.80 | $309.03 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $67.61 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $165.96 | $239.88 | $309.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $478.63 | Facility | None | $190.55 | $263.03 | $478.63 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $218.78 | $229.09 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $1,737.80 | Facility | None | $478.63 | $660.69 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $141.25 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $56.23 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $218.78 | $338.84 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $457.09 Typical High $1,659.59 | Facility | None | $218.78 | $457.09 | $1,659.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $446.68 Typical High $1,584.89 | Professional | None (both parts) | $234.42 | $446.68 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $91.20 Typical High $467.74 | Professional | 26 · Professional part | $47.86 | $91.20 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $363.08 Typical High $1,148.15 | Professional | TC · Technical part | $186.21 | $363.08 | $1,148.15 |
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 $223.87 Median $302.00 Typical High $724.44 | Professional | None (both parts) | $223.87 | $302.00 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $147.91 | Professional | 26 · Professional part | $45.71 | $60.26 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $173.78 | $239.88 | $575.44 |
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 $95.50 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $45.71 | Professional | 53 · Discontinued | $38.02 | $39.81 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $158.49 Typical High $181.97 | Professional | FX · Film X-ray | $151.36 | $158.49 | $181.97 |
Where Missouri sits
The same service costs 3.8 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· 21st of 51
$316
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.