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 $257.04 Median $446.68 Typical High $1,380.38 | Facility | None | $257.04 | $446.68 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $223.87 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $63.10 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $208.93 | $338.84 |
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 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $51.29 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $208.93 | $389.05 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $85.11 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $295.12 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $295.12 | $436.52 |
BCBS Kansas City Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $724.44 | Facility | None | $295.12 | $346.74 | $724.44 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $229.09 | $245.47 | $323.59 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $60.26 | $77.62 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $186.21 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $2,630.27 | Facility | None | $263.03 | $660.69 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $190.55 | $257.04 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $144.54 | $194.98 | $371.54 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $741.31 Typical High $2,511.89 | Facility | None | $295.12 | $741.31 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $257.04 | $1,819.70 | $1,819.70 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $60.26 | $363.08 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $1,513.56 Typical High $1,513.56 | Professional | TC · Technical part | $194.98 | $1,513.56 | $1,513.56 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
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 $234.42 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $234.42 | $316.23 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $69.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $234.42 | $436.52 |
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 $112.20 Median $131.83 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $52.48 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $223.87 Typical High $234.42 | Professional | CT · Older CT scanner | $190.55 | $223.87 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $208.93 Typical High $218.78 | Professional | FX · Film X-ray | $181.97 | $208.93 | $218.78 |
Where Missouri sits
The same service costs 4.4 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
$331
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.