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 $263.03 Median $457.09 Typical High $1,348.96 | Facility | None | $263.03 | $457.09 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $229.09 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $69.18 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $204.17 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $213.80 | $398.11 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $95.50 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $151.36 | $295.12 | $467.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $724.44 | Facility | None | $295.12 | $371.54 | $724.44 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $234.42 | $251.19 | $331.13 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $66.07 | $85.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $169.82 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $2,630.27 | Facility | None | $263.03 | $660.69 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $194.98 | $263.03 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $199.53 | $389.05 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $616.60 Typical High $2,511.89 | Facility | None | $281.84 | $616.60 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $263.03 | $1,862.09 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $446.68 Typical High $446.68 | Professional | 26 · Professional part | $67.61 | $446.68 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $2,089.30 Typical High $2,089.30 | Professional | TC · Technical part | $190.55 | $2,089.30 | $2,089.30 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
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 $239.88 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $239.88 | $323.59 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $234.42 | $467.74 |
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 $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $114.82 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $53.70 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $229.09 Typical High $234.42 | Professional | CT · Older CT scanner | $194.98 | $229.09 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $213.80 Typical High $223.87 | Professional | FX · Film X-ray | $186.21 | $213.80 | $223.87 |
Where Missouri sits
The same service costs 4.5 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
$355
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.