How much rates vary
Facilitymedian $589 · 10th to 90th $275 to $2,512Professionalmedian $380 · 10th to 90th $224 to $2,042
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 $263.03 Median $645.65 Typical High $1,479.11 | Facility | None | $263.03 | $645.65 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $223.87 | $263.03 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $87.10 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $173.78 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $83.18 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $223.87 | $398.11 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $112.20 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $141.25 | $288.40 | $512.86 |
BCBS Kansas City Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $758.58 | Facility | None | $302.00 | $398.11 | $758.58 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $234.42 | $239.88 | $363.08 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $83.18 | $107.15 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $151.36 | $158.49 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $2,238.72 | Facility | None | $263.03 | $660.69 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $186.21 | $281.84 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $77.62 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $407.38 | Professional | TC · Technical part | $123.03 | $190.55 | $407.38 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $2,511.89 | Facility | None | $281.84 | $724.44 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $269.15 | $2,041.74 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $77.62 | $489.78 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $1,995.26 Typical High $1,995.26 | Professional | TC · Technical part | $173.78 | $1,995.26 | $1,995.26 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
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 $245.47 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $245.47 | $323.59 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $74.13 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $218.78 | $389.05 |
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 $112.20 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $112.20 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $44.67 | $52.48 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $223.87 Typical High $234.42 | Professional | CT · Older CT scanner | $190.55 | $223.87 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $208.93 Typical High $218.78 | Professional | FX · Film X-ray | $181.97 | $208.93 | $218.78 |
Where Missouri sits
The same service costs 6.3 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
$380
AK $851UT $135
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.