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 $117.49 Median $501.19 Typical High $1,479.11 | Facility | None | $117.49 | $501.19 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $87.10 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $31.62 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $85.11 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $26.92 | $30.20 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $61.66 | $85.11 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $29.51 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $58.88 | $123.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $158.49 | Facility | None | $64.57 | $91.20 | $158.49 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $102.33 | $109.65 | $141.25 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $30.20 | $38.90 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $74.13 | $79.43 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $239.88 Typical High $1,122.02 | Facility | None | $74.13 | $239.88 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $77.62 | $102.33 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $28.18 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $74.13 | $125.89 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $2,511.89 | Facility | None | $104.71 | $245.47 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $102.33 | $275.42 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $77.62 Typical High $173.78 | Professional | 26 · Professional part | $30.20 | $77.62 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $77.62 | $208.93 | $489.78 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $95.50 | $123.03 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $33.11 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $66.07 | $93.33 | $173.78 |
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 $85.11 Median $100.00 Typical High $104.71 | Professional | CT · Older CT scanner | $85.11 | $100.00 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $93.33 | $100.00 |
Where Missouri sits
The same service costs 4.2 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· 29th of 51
$117
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.