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 $213.80 Median $660.69 Typical High $1,479.11 | Facility | None | $213.80 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $204.17 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $69.18 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $165.96 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $234.42 | $389.05 | $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 $467.74 Typical High $933.25 | Facility | None | $380.19 | $467.74 | $933.25 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $208.93 | $218.78 | $338.84 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $66.07 | $85.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $144.54 | $151.36 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $2,137.96 | Facility | None | $263.03 | $660.69 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $165.96 | $281.84 | $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 $117.49 Median $208.93 Typical High $446.68 | Professional | TC · Technical part | $117.49 | $208.93 | $446.68 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $562.34 Typical High $2,511.89 | Facility | None | $263.03 | $562.34 | $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 |
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 $229.09 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $229.09 | $316.23 | $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 $40.74 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $40.74 | $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 $162.18 Median $186.21 Typical High $208.93 | Professional | FX · Film X-ray | $162.18 | $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· 19th 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.