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 $269.15 Median $501.19 Typical High $1,071.52 | Facility | None | $269.15 | $501.19 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $199.53 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $56.23 | $79.43 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $181.97 | Professional | TC · Technical part | $134.90 | $177.83 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
BCBS Setting Facility Modifier None Typical Low $338.84 Median $467.74 Typical High $660.69 | Facility | None | $338.84 | $467.74 | $660.69 |
BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $63.10 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $758.58 | Facility | None | $501.19 | $602.56 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $169.82 | $169.82 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $53.70 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $295.12 | Professional | TC · Technical part | $117.49 | $117.49 | $295.12 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $269.15 Typical High $2,511.89 | Facility | None | $263.03 | $269.15 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $363.08 Typical High $2,290.87 | Professional | None (both parts) | $199.53 | $363.08 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $162.18 Typical High $524.81 | Professional | 26 · Professional part | $53.70 | $162.18 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $691.83 Typical High $1,995.26 | Professional | TC · Technical part | $151.36 | $691.83 | $1,995.26 |
United Setting Facility Modifier None Typical Low $77.62 Median $281.84 Typical High $457.09 | Facility | None | $77.62 | $281.84 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $199.53 | $245.47 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $64.57 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $181.97 | $338.84 |
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 $128.82 Typical High $131.83 | Professional | 52 · Reduced service | $100.00 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $39.81 | $51.29 | $52.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | CT · Older CT scanner | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $173.78 | $208.93 | $208.93 |
Where Oklahoma 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.
Oklahoma· 43rd of 51
$251
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.