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 $204.17 Median $263.03 Typical High $316.23 | Facility | None | $204.17 | $263.03 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $204.17 | $229.09 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $30.20 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $177.83 | $199.53 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $177.83 | $245.47 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $46.77 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $190.55 | $338.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $144.54 Median $204.17 Typical High $363.08 | Facility | None | $144.54 | $204.17 | $363.08 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $239.88 | $251.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $1,380.38 | Facility | None | $389.05 | $707.95 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $151.36 | $239.88 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $22.39 | $41.69 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $199.53 | $389.05 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $489.78 Typical High $1,230.27 | Facility | None | $223.87 | $489.78 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $489.78 Typical High $1,548.82 | Professional | None (both parts) | $229.09 | $489.78 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $63.10 Typical High $257.04 | Professional | 26 · Professional part | $33.11 | $63.10 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $426.58 Typical High $1,348.96 | Professional | TC · Technical part | $194.98 | $426.58 | $1,348.96 |
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 $218.78 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $218.78 | $295.12 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $41.69 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $676.08 | Professional | TC · Technical part | $186.21 | $257.04 | $676.08 |
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 $102.33 Median $104.71 Typical High $123.03 | Professional | 52 · Reduced service | $102.33 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $42.66 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $42.66 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $169.82 Typical High $199.53 | Professional | FX · Film X-ray | $162.18 | $169.82 | $199.53 |
Where Missouri sits
The same service costs 5.2 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· 36th of 51
$257
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.