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 $660.69 Typical High $1,479.11 | Facility | None | $269.15 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $229.09 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $66.07 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $199.53 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $234.42 | $416.87 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $89.13 | $117.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $616.60 Typical High $977.24 | Professional | 50 · Both sides | $354.81 | $616.60 | $977.24 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $173.78 | $316.23 | $524.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $316.23 Median $416.87 Typical High $794.33 | Facility | None | $316.23 | $416.87 | $794.33 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $257.04 | $269.15 | $371.54 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $63.10 | $81.28 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $204.17 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $2,884.03 | Facility | None | $263.03 | $660.69 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $208.93 | $295.12 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $60.26 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $234.42 | $446.68 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $2,511.89 | Facility | None | $281.84 | $562.34 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $295.12 | $2,089.30 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $63.10 | $398.11 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $223.87 | $1,737.80 | $1,737.80 |
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 $275.42 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $275.42 | $363.08 | $660.69 |
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 $218.78 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $281.84 | $512.86 |
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 $114.82 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $114.82 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $45.71 | $53.70 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | CT · Older CT scanner | $194.98 | $223.87 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $213.80 Typical High $229.09 | Professional | FX · Film X-ray | $181.97 | $213.80 | $229.09 |
Where Missouri sits
The same service costs 5.0 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
$389
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.