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 $263.03 Median $478.63 Typical High $1,071.52 | Facility | None | $263.03 | $478.63 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $151.36 | Facility | 26 · Professional part | $83.18 | $100.00 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $436.52 | Facility | TC · Technical part | $169.82 | $234.42 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $257.04 | $302.00 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $95.50 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $213.80 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $123.03 | Professional | 26 · Professional part | $77.62 | $107.15 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $263.03 | $446.68 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $173.78 | $331.13 | $602.56 |
BCBS Kansas City Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $1,122.02 | Facility | None | $457.09 | $645.65 | $1,122.02 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $288.40 | $302.00 | $489.78 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $87.10 | $89.13 | $117.49 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $208.93 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $208.93 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $2,951.21 | Facility | None | $263.03 | $660.69 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $229.09 | $338.84 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $87.10 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $616.60 | Professional | TC · Technical part | $162.18 | $239.88 | $616.60 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $812.83 Typical High $2,511.89 | Facility | None | $309.03 | $812.83 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $316.23 | $3,235.94 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $870.96 Typical High $870.96 | Professional | 26 · Professional part | $91.20 | $870.96 | $870.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $2,754.23 Typical High $2,754.23 | Professional | TC · Technical part | $218.78 | $2,754.23 | $2,754.23 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
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 $295.12 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $295.12 | $398.11 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $208.93 | Professional | 26 · Professional part | $85.11 | $102.33 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $204.17 | $281.84 | $575.44 |
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 $125.89 Median $147.91 Typical High $162.18 | Professional | 52 · Reduced service | $125.89 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $58.88 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $58.88 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $251.19 Typical High $269.15 | Professional | CT · Older CT scanner | $213.80 | $251.19 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | FX · Film X-ray | $204.17 | $234.42 | $251.19 |
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· 19th of 51
$457
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.