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 $524.81 Median $524.81 Typical High $954.99 | Facility | None | $524.81 | $524.81 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $524.81 | $588.84 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $45.71 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $478.63 | $537.03 | $851.14 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $257.04 | $562.34 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $67.61 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $512.86 Typical High $933.25 | Professional | TC · Technical part | $190.55 | $512.86 | $933.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $1,148.15 | Facility | None | $467.74 | $645.65 | $1,148.15 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $588.84 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $588.84 | $602.56 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $4,570.88 | Facility | None | $1,318.26 | $1,905.46 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $691.83 Typical High $1,148.15 | Professional | None (both parts) | $380.19 | $691.83 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $33.88 | $63.10 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $616.60 Typical High $1,047.13 | Professional | TC · Technical part | $346.74 | $616.60 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,202.26 Typical High $4,073.80 | Facility | None | $588.84 | $1,202.26 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,174.90 Typical High $3,981.07 | Professional | None (both parts) | $588.84 | $1,174.90 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $97.72 Typical High $457.09 | Professional | 26 · Professional part | $52.48 | $97.72 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $1,148.15 Typical High $3,715.35 | Professional | TC · Technical part | $549.54 | $1,148.15 | $3,715.35 |
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 $575.44 Median $794.33 Typical High $1,995.26 | Professional | None (both parts) | $575.44 | $794.33 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $158.49 | Professional | 26 · Professional part | $47.86 | $64.57 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $724.44 Typical High $1,862.09 | Professional | TC · Technical part | $524.81 | $724.44 | $1,862.09 |
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 $257.04 Median $263.03 Typical High $316.23 | Professional | 52 · Reduced service | $257.04 | $263.03 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | 53 · Discontinued | $104.71 | $104.71 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | FX · Film X-ray | $416.87 | $416.87 | $501.19 |
Where Missouri sits
The same service costs 4.4 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· 32nd of 51
$692
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.