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 $194.98 Median $501.19 Typical High $1,479.11 | Facility | None | $194.98 | $501.19 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $173.78 | $204.17 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $57.54 | $66.07 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $134.90 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $208.93 | $309.03 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $89.13 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $245.47 | $457.09 |
BCBS Kansas City Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $758.58 | Facility | None | $302.00 | $371.54 | $758.58 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $177.83 | $186.21 | $281.84 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $63.10 | $81.28 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $123.03 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $1,737.80 | Facility | None | $263.03 | $660.69 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $141.25 | $234.42 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $61.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $354.81 | Professional | TC · Technical part | $95.50 | $165.96 | $354.81 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $602.56 Typical High $2,511.89 | Facility | None | $223.87 | $602.56 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $213.80 | $1,905.46 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $64.57 | $436.52 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $144.54 | $1,949.84 | $1,949.84 |
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 $194.98 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $194.98 | $269.15 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $58.88 | $72.44 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $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 $87.10 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $39.81 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | CT · Older CT scanner | $147.91 | $169.82 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $138.04 | $158.49 | $177.83 |
Where Missouri sits
The same service costs 5.5 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· 22nd of 51
$309
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.