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 $407.38 Typical High $1,380.38 | Facility | None | $173.78 | $407.38 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $151.36 | $181.97 | $346.74 |
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 $91.20 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $91.20 | $107.15 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $151.36 | $275.42 | $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 $87.10 Median $181.97 Typical High $302.00 | Professional | TC · Technical part | $87.10 | $181.97 | $302.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $501.19 | Facility | None | $204.17 | $257.04 | $501.19 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $158.49 | $165.96 | $245.47 |
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 $93.33 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $93.33 | $97.72 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $1,380.38 | Facility | None | $158.49 | $407.38 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $125.89 | $190.55 | $389.05 |
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 $75.86 Median $117.49 Typical High $257.04 | Professional | TC · Technical part | $75.86 | $117.49 | $257.04 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $467.74 Typical High $2,511.89 | Facility | None | $190.55 | $467.74 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $181.97 | $1,412.54 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $67.61 | $389.05 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $104.71 | $1,318.26 | $1,318.26 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
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 $165.96 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $165.96 | $223.87 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $75.86 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $134.90 | $245.47 |
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 $75.86 Median $89.13 Typical High $114.82 | Professional | 52 · Reduced service | $75.86 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $45.71 | Professional | 53 · Discontinued | $30.20 | $35.48 | $45.71 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | CT · Older CT scanner | $128.82 | $151.36 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $141.25 Typical High $144.54 | Professional | FX · Film X-ray | $123.03 | $141.25 | $144.54 |
Where Missouri sits
The same service costs 5.8 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
$263
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.