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 $41.69 Median $91.20 Typical High $104.71 | Facility | None | $41.69 | $91.20 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $91.20 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $60.26 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $35.48 | $38.02 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $169.82 | $263.03 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $107.15 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $36.31 | $177.83 | $309.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $223.87 | Facility | None | $91.20 | $120.23 | $223.87 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $870.96 | Facility | None | $128.82 | $162.18 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $75.86 | $141.25 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $46.77 | $89.13 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $53.70 Typical High $89.13 | Professional | TC · Technical part | $29.51 | $53.70 | $89.13 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $676.08 | Facility | None | $104.71 | $251.19 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $512.86 Typical High $1,202.26 | Professional | None (both parts) | $245.47 | $512.86 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $218.78 Typical High $1,202.26 | Professional | 26 · Professional part | $72.44 | $218.78 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $380.19 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $380.19 | $630.96 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $776.25 | Facility | None | $741.31 | $741.31 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $933.25 | Professional | None (both parts) | $213.80 | $323.59 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $67.61 | $100.00 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $234.42 Typical High $724.44 | Professional | TC · Technical part | $91.20 | $234.42 | $724.44 |
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 $45.71 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $19.95 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $79.43 Typical High $89.13 | Professional | FX · Film X-ray | $74.13 | $79.43 | $89.13 |
Where Missouri sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 7th of 51
$275
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.