How much rates vary
Facilitymedian $339 · 10th to 90th $151 to $2,512Professionalmedian $240 · 10th to 90th $138 to $1,380
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 $131.83 Median $218.78 Typical High $812.83 | Facility | None | $131.83 | $218.78 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $85.11 | Facility | 26 · Professional part | $46.77 | $57.54 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $199.53 | Facility | TC · Technical part | $83.18 | $104.71 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $131.83 | $158.49 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $53.70 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $85.11 | $100.00 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $79.43 | $93.33 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $51.29 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $147.91 | $251.19 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $218.78 Median $363.08 Typical High $630.96 | Professional | 50 · Both sides | $218.78 | $363.08 | $630.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $97.72 | $177.83 | $309.03 |
BCBS Setting Facility Modifier None Typical Low $213.80 Median $269.15 Typical High $524.81 | Facility | None | $213.80 | $269.15 | $524.81 |
BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $138.04 | $141.25 | $223.87 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $50.12 | $52.48 | $67.61 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $87.10 | $91.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $407.38 Typical High $1,288.25 | Facility | None | $158.49 | $407.38 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $109.65 | $186.21 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $50.12 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $123.03 Typical High $263.03 | Professional | TC · Technical part | $69.18 | $123.03 | $263.03 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $575.44 Typical High $2,511.89 | Facility | None | $169.82 | $575.44 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $169.82 | $1,380.38 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $53.70 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $109.65 | $1,318.26 | $1,318.26 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $151.36 | $208.93 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $60.26 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $141.25 | $251.19 |
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 $66.07 Median $75.86 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $75.86 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $41.69 | Professional | 53 · Discontinued | $26.30 | $30.20 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $128.82 Typical High $144.54 | Professional | CT · Older CT scanner | $112.20 | $128.82 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $138.04 | Professional | FX · Film X-ray | $104.71 | $120.23 | $138.04 |
Where Missouri sits
The same service costs 5.8 times more in Vermont 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
$240
VT $603UT $105
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.