How much rates vary
Facilitymedian $347 · 10th to 90th $148 to $2,512Professionalmedian $234 · 10th to 90th $126 to $1,413
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 $128.82 Median $218.78 Typical High $812.83 | Facility | None | $128.82 | $218.78 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $74.13 | Facility | 26 · Professional part | $40.74 | $48.98 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $208.93 | Facility | TC · Technical part | $89.13 | $109.65 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $128.82 | $154.88 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $48.98 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $104.71 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $138.04 | Professional | None (both parts) | $91.20 | $100.00 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $38.02 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $125.89 | $257.04 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $42.66 | $72.44 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $83.18 | $162.18 | $302.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $501.19 | Facility | None | $204.17 | $269.15 | $501.19 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $134.90 | $141.25 | $223.87 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $44.67 | $69.18 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $158.49 | Professional | TC · Technical part | $91.20 | $95.50 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $1,348.96 | Facility | None | $158.49 | $407.38 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $354.81 | Professional | None (both parts) | $107.15 | $162.18 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $48.98 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $74.13 | $109.65 | $263.03 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $588.84 Typical High $2,511.89 | Facility | None | $165.96 | $588.84 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $147.91 | $1,412.54 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $46.77 | $331.13 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $100.00 | $1,230.27 | $1,230.27 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
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 $141.25 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $141.25 | $190.55 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $57.54 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $128.82 | $251.19 |
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 $64.57 Median $75.86 Typical High $97.72 | Professional | 52 · Reduced service | $64.57 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $25.70 | $30.20 | $38.90 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | CT · Older CT scanner | $109.65 | $128.82 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $134.90 | Professional | FX · Film X-ray | $104.71 | $120.23 | $134.90 |
Where Missouri sits
The same service costs 4.9 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· 20th of 51
$234
AK $513UT $105
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.