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 $302.00 Median $660.69 Typical High $1,479.11 | Facility | None | $302.00 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $263.03 | $302.00 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $102.33 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $204.17 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $117.49 | Professional | 26 · Professional part | $97.72 | $114.82 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $758.58 | Professional | None (both parts) | $269.15 | $446.68 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $95.50 | $177.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $676.08 Typical High $1,071.52 | Professional | 50 · Both sides | $398.11 | $676.08 | $1,071.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $173.78 | $338.84 | $602.56 |
BCBS Kansas City Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $1,148.15 | Facility | None | $467.74 | $562.34 | $1,148.15 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $338.84 | $354.81 | $467.74 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $97.72 | $125.89 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $346.74 | Professional | TC · Technical part | $245.47 | $251.19 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $3,630.78 | Facility | None | $263.03 | $660.69 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $269.15 | $380.19 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $91.20 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $275.42 | $562.34 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $758.58 Typical High $2,511.89 | Facility | None | $338.84 | $758.58 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $371.54 | $2,884.03 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $97.72 | $562.34 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $2,398.83 Typical High $2,398.83 | Professional | TC · Technical part | $269.15 | $2,398.83 | $2,398.83 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $162.18 | $162.18 | $245.47 |
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 $354.81 Median $467.74 Typical High $851.14 | Professional | None (both parts) | $354.81 | $467.74 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $112.20 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $257.04 | $346.74 | $630.96 |
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 $151.36 Typical High $169.82 | Professional | 52 · Reduced service | $128.82 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $60.26 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $60.26 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $223.87 Median $257.04 Typical High $275.42 | Professional | CT · Older CT scanner | $223.87 | $257.04 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $239.88 Typical High $257.04 | Professional | FX · Film X-ray | $208.93 | $239.88 | $257.04 |
Where Missouri sits
The same service costs 6.2 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· 19th of 51
$479
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.