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 $295.12 Median $501.19 Typical High $1,479.11 | Facility | None | $295.12 | $501.19 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $257.04 | $295.12 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $97.72 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $199.53 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $66.07 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $263.03 | $436.52 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $93.33 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $173.78 | $316.23 | $549.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $1,148.15 | Facility | None | $436.52 | $501.19 | $1,148.15 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $416.87 | Professional | None (both parts) | $309.03 | $323.59 | $416.87 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $93.33 | $120.23 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $218.78 | $229.09 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $3,235.94 | Facility | None | $263.03 | $660.69 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $251.19 | $346.74 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $89.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $257.04 | $501.19 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $707.95 Typical High $2,511.89 | Facility | None | $331.13 | $707.95 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $346.74 | $2,884.03 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $93.33 | $537.03 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $2,398.83 Typical High $2,398.83 | Professional | TC · Technical part | $245.47 | $2,398.83 | $2,398.83 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
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 $331.13 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $331.13 | $426.58 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $89.13 | $107.15 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $234.42 | $316.23 | $575.44 |
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 $128.82 Median $147.91 Typical High $169.82 | Professional | 52 · Reduced service | $128.82 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $51.29 | $58.88 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $251.19 Typical High $269.15 | Professional | CT · Older CT scanner | $218.78 | $251.19 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $239.88 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $239.88 | $257.04 |
Where Missouri sits
The same service costs 6.0 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· 21st of 51
$437
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.