How much rates vary
Facilitymedian $631 · 10th to 90th $302 to $2,512Professionalmedian $457 · 10th to 90th $263 to $3,162
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 $288.40 Median $457.09 Typical High $870.96 | Facility | None | $288.40 | $457.09 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $158.49 | Facility | 26 · Professional part | $87.10 | $104.71 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $436.52 | Facility | TC · Technical part | $177.83 | $223.87 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $257.04 | $316.23 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $100.00 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $218.78 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $218.78 | $218.78 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $72.44 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $758.58 | Professional | None (both parts) | $263.03 | $467.74 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $93.33 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $173.78 | $346.74 | $602.56 |
BCBS Kansas City Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $1,288.25 | Facility | None | $478.63 | $562.34 | $1,288.25 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $295.12 | $309.03 | $457.09 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $91.20 | $93.33 | $125.89 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $204.17 | $213.80 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $3,019.95 | Facility | None | $263.03 | $660.69 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $234.42 | $346.74 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $239.88 | $537.03 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $954.99 Typical High $2,511.89 | Facility | None | $331.13 | $954.99 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $323.59 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $630.96 Typical High $1,000.00 | Professional | 26 · Professional part | $95.50 | $630.96 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $223.87 | $2,691.53 | $2,691.53 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $169.82 | $169.82 | $169.82 |
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 $302.00 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $302.00 | $407.38 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $109.65 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $281.84 | $537.03 |
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 $128.82 Median $147.91 Typical High $162.18 | Professional | 52 · Reduced service | $128.82 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $60.26 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $251.19 Typical High $275.42 | Professional | CT · Older CT scanner | $218.78 | $251.19 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $239.88 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $239.88 | $257.04 |
Where Missouri sits
The same service costs 12.3 times more in Vermont 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
$468
VT $2,089UT $170
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.