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 $162.18 Median $316.23 Typical High $1,380.38 | Facility | None | $162.18 | $316.23 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $162.18 | $194.98 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $70.79 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $120.23 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $60.26 | $120.23 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $58.88 | $67.61 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $162.18 | $295.12 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $95.50 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $97.72 | $190.55 | $316.23 |
BCBS Kansas City Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $501.19 | Facility | None | $204.17 | $281.84 | $501.19 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $165.96 | $173.78 | $269.15 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $64.57 | $66.07 | $87.10 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $107.15 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $1,513.56 | Facility | None | $158.49 | $407.38 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $134.90 | $223.87 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $64.57 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $144.54 | $309.03 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $478.63 Typical High $2,511.89 | Facility | None | $199.53 | $478.63 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $213.80 | $1,659.59 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $67.61 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $144.54 | $1,318.26 | $1,318.26 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $186.21 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $75.86 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $181.97 | $295.12 |
4 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 $81.28 Median $93.33 Typical High $117.49 | Professional | 52 · Reduced service | $81.28 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $46.77 | Professional | 53 · Discontinued | $32.36 | $37.15 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $158.49 Typical High $162.18 | Professional | CT · Older CT scanner | $138.04 | $158.49 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $147.91 Typical High $154.88 | Professional | FX · Film X-ray | $128.82 | $147.91 | $154.88 |
Where Missouri sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 17th of 51
$282
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.