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 $229.09 Median $660.69 Typical High $1,479.11 | Facility | None | $229.09 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $199.53 | $229.09 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $66.07 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $162.18 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $53.70 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $645.65 | Professional | None (both parts) | $234.42 | $389.05 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $89.13 | $120.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $575.44 Typical High $977.24 | Professional | 50 · Both sides | $354.81 | $575.44 | $977.24 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $165.96 | $295.12 | $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 $204.17 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $204.17 | $213.80 | $331.13 |
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 $144.54 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $151.36 | $245.47 |
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 $162.18 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $162.18 | $281.84 | $524.81 |
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 $114.82 Median $204.17 Typical High $426.58 | Professional | TC · Technical part | $114.82 | $204.17 | $426.58 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $645.65 Typical High $2,511.89 | Facility | None | $257.04 | $645.65 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $257.04 | $2,089.30 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $63.10 | $380.19 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $181.97 | $1,737.80 | $1,737.80 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $537.03 | Professional | None (both parts) | $229.09 | $316.23 | $537.03 |
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 $165.96 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $229.09 | $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 $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $100.00 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $39.81 | $45.71 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $194.98 Typical High $213.80 | Professional | CT · Older CT scanner | $169.82 | $194.98 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $181.97 Typical High $204.17 | Professional | FX · Film X-ray | $158.49 | $181.97 | $204.17 |
Where Missouri sits
The same service costs 5.1 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· 18th 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.