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 $501.19 Typical High $1,380.38 | Facility | None | $263.03 | $501.19 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $257.04 | $295.12 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $97.72 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $204.17 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $95.50 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $758.58 | Professional | None (both parts) | $263.03 | $467.74 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $93.33 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $173.78 | $346.74 | $602.56 |
BCBS Kansas City Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $1,258.93 | Facility | None | $501.19 | $630.96 | $1,258.93 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $316.23 | $331.13 | $478.63 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $91.20 | $93.33 | $123.03 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $229.09 | $239.88 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $3,388.44 | Facility | None | $263.03 | $660.69 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $257.04 | $363.08 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $263.03 | $562.34 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $758.58 Typical High $2,511.89 | Facility | None | $316.23 | $758.58 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $346.74 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $95.50 | $660.69 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $2,630.27 Typical High $2,630.27 | Professional | TC · Technical part | $245.47 | $2,630.27 | $2,630.27 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
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 $316.23 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $316.23 | $436.52 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $109.65 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $588.84 | Professional | TC · Technical part | $223.87 | $309.03 | $588.84 |
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 $147.91 Typical High $162.18 | Professional | 52 · Reduced service | $128.82 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $60.26 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $251.19 Typical High $275.42 | Professional | CT · Older CT scanner | $218.78 | $251.19 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $239.88 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $239.88 | $257.04 |
Where Missouri sits
The same service costs 6.0 times more in Alaska than in Texas. 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
$468
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.