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 $208.93 Median $660.69 Typical High $1,479.11 | Facility | None | $208.93 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $199.53 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $69.18 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $162.18 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $234.42 | $371.54 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $93.33 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $288.40 | $575.44 |
BCBS Kansas City Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $933.25 | Facility | None | $380.19 | $457.09 | $933.25 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $204.17 | $213.80 | $338.84 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $64.57 | $85.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $2,089.30 | Facility | None | $263.03 | $660.69 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $165.96 | $275.42 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $114.82 | $204.17 | $446.68 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $707.95 Typical High $2,511.89 | Facility | None | $257.04 | $707.95 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $251.19 | $2,290.87 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $66.07 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $1,995.26 Typical High $1,995.26 | Professional | TC · Technical part | $177.83 | $1,995.26 | $1,995.26 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $223.87 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $223.87 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $223.87 | $416.87 |
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 $100.00 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $100.00 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $39.81 | $46.77 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $199.53 Typical High $218.78 | Professional | CT · Older CT scanner | $169.82 | $199.53 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $186.21 Typical High $208.93 | Professional | FX · Film X-ray | $158.49 | $186.21 | $208.93 |
Where Missouri sits
The same service costs 5.2 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
$372
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.