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 $173.78 Median $275.42 Typical High $1,380.38 | Facility | None | $173.78 | $275.42 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $154.88 | $186.21 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $61.66 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $120.23 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $120.23 | $120.23 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $57.54 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $151.36 | $309.03 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $91.20 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $426.58 | Professional | TC · Technical part | $97.72 | $199.53 | $426.58 |
BCBS Kansas City Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $602.56 | Facility | None | $245.47 | $323.59 | $602.56 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $158.49 | $165.96 | $269.15 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $58.88 | $85.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $107.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,513.56 | Facility | None | $263.03 | $660.69 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $128.82 | $194.98 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $58.88 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $83.18 | $125.89 | $323.59 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $2,511.89 | Facility | None | $199.53 | $562.34 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $177.83 | $1,698.24 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $61.66 | $389.05 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $2,041.74 Typical High $2,041.74 | Professional | TC · Technical part | $114.82 | $2,041.74 | $2,041.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
United Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $588.84 | Facility | None | $549.54 | $549.54 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $169.82 | $229.09 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $69.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $112.20 | $147.91 | $288.40 |
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 $77.62 Median $89.13 Typical High $123.03 | Professional | 52 · Reduced service | $77.62 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $35.48 Typical High $48.98 | Professional | 53 · Discontinued | $30.90 | $35.48 | $48.98 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $151.36 Typical High $154.88 | Professional | CT · Older CT scanner | $131.83 | $151.36 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $144.54 Typical High $147.91 | Professional | FX · Film X-ray | $123.03 | $144.54 | $147.91 |
Where Missouri sits
The same service costs 5.9 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
$288
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.