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 $58.88 Median $58.88 Typical High $128.82 | Facility | None | $58.88 | $58.88 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $70.79 | Professional | None (both parts) | $58.88 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.08 Typical High $7.59 | Professional | 26 · Professional part | $6.17 | $7.08 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $52.48 | $54.95 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $69.18 | $100.00 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.75 Typical High $30.20 | Professional | 26 · Professional part | $7.94 | $11.75 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $61.66 | $81.28 | $107.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $154.88 | Facility | None | $63.10 | $87.10 | $154.88 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $75.86 | $79.43 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $275.42 | Facility | None | $117.49 | $208.93 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $48.98 | $91.20 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.77 Typical High $16.60 | Professional | 26 · Professional part | $5.37 | $9.77 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $77.62 | $120.23 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $125.89 Typical High $416.87 | Facility | None | $67.61 | $125.89 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $144.54 Typical High $501.19 | Professional | None (both parts) | $75.86 | $144.54 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $15.14 Typical High $154.88 | Professional | 26 · Professional part | $8.13 | $15.14 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $131.83 Typical High $416.87 | Professional | TC · Technical part | $66.07 | $131.83 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $229.09 | Professional | None (both parts) | $70.79 | $97.72 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $23.99 | Professional | 26 · Professional part | $7.59 | $10.72 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $204.17 | Professional | TC · Technical part | $61.66 | $87.10 | $204.17 |
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 $29.51 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $12.30 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $48.98 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $48.98 | $57.54 |
Where Missouri sits
The same service costs 4.6 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· 23rd of 51
$102
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.