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 $177.83 Median $177.83 Typical High $331.13 | Facility | None | $177.83 | $177.83 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $177.83 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $27.54 | Professional | 26 · Professional part | $22.91 | $25.70 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $154.88 | $165.96 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $165.96 | $213.80 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $117.49 | $186.21 | $302.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $331.13 | Facility | None | $91.20 | $128.82 | $331.13 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $229.09 | $239.88 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $1,380.38 | Facility | None | $478.63 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $138.04 | $263.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $19.05 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $229.09 | $346.74 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $446.68 Typical High $1,230.27 | Facility | None | $199.53 | $446.68 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $407.38 Typical High $1,348.96 | Professional | None (both parts) | $194.98 | $407.38 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $53.70 Typical High $269.15 | Professional | 26 · Professional part | $28.18 | $53.70 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $371.54 Typical High $1,174.90 | Professional | TC · Technical part | $173.78 | $371.54 | $1,174.90 |
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 $288.40 Typical High $676.08 | Professional | None (both parts) | $194.98 | $288.40 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $36.31 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $588.84 | Professional | TC · Technical part | $169.82 | $251.19 | $588.84 |
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 $87.10 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $35.48 | $38.90 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $154.88 Typical High $169.82 | Professional | FX · Film X-ray | $141.25 | $154.88 | $169.82 |
Where Missouri sits
The same service costs 4.8 times more in Alaska than in Indiana. 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.