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 $97.72 Median $97.72 Typical High $154.88 | Facility | None | $97.72 | $97.72 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $91.20 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $17.38 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $83.18 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $97.72 | $131.83 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $18.20 | $26.92 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $158.49 | Professional | TC · Technical part | $81.28 | $100.00 | $158.49 |
BCBS Kansas City Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $190.55 | Facility | None | $77.62 | $107.15 | $190.55 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $104.71 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $1,348.96 | Facility | None | $208.93 | $316.23 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $63.10 | $128.82 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $12.30 | $22.39 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $57.54 | $107.15 | $177.83 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $208.93 Typical High $1,230.27 | Facility | None | $109.65 | $208.93 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $204.17 Typical High $1,122.02 | Professional | None (both parts) | $107.15 | $204.17 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $35.48 Typical High $338.84 | Professional | 26 · Professional part | $19.05 | $35.48 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $173.78 Typical High $794.33 | Professional | TC · Technical part | $89.13 | $173.78 | $794.33 |
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 $100.00 Median $134.90 Typical High $380.19 | Professional | None (both parts) | $100.00 | $134.90 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $58.88 | Professional | 26 · Professional part | $17.78 | $22.91 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $112.20 | $316.23 |
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 $44.67 Median $48.98 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $19.50 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $95.50 | Professional | FX · Film X-ray | $72.44 | $77.62 | $95.50 |
Where Missouri sits
The same service costs 5.5 times more in Alabama 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· 28th of 51
$132
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.