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 $436.52 Median $645.65 Typical High $1,479.11 | Facility | None | $436.52 | $645.65 | $1,479.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $380.19 Typical High $660.69 | Facility | TC · Technical part | $281.84 | $380.19 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $389.05 | $446.68 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $93.33 | $120.23 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $331.13 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $112.20 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $354.81 | $537.03 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $144.54 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $251.19 | $398.11 | $645.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $1,202.26 | Facility | None | $478.63 | $630.96 | $1,202.26 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $398.11 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $398.11 | $416.87 | $645.65 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $109.65 | $112.20 | $147.91 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $4,265.80 | Facility | None | $524.81 | $1,071.52 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $316.23 | $446.68 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $109.65 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $234.42 | $331.13 | $630.96 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $3,715.35 | Facility | None | $478.63 | $977.24 | $3,715.35 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,071.52 Typical High $2,570.40 | Professional | None (both parts) | $426.58 | $1,071.52 | $2,570.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $295.12 Typical High $660.69 | Professional | 26 · Professional part | $117.49 | $295.12 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $812.83 Typical High $2,041.74 | Professional | TC · Technical part | $309.03 | $812.83 | $2,041.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $977.24 | Professional | None (both parts) | $398.11 | $537.03 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $257.04 | Professional | 26 · Professional part | $109.65 | $128.82 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $398.11 Typical High $741.31 | Professional | TC · Technical part | $288.40 | $398.11 | $741.31 |
2 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 CT · Older CT scanner Typical Low $331.13 Median $380.19 Typical High $389.05 | Professional | CT · Older CT scanner | $331.13 | $380.19 | $389.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $354.81 Typical High $371.54 | Professional | FX · Film X-ray | $309.03 | $354.81 | $371.54 |
Where Missouri sits
The same service costs 5.0 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· 25th of 51
$537
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.