How much rates vary
Facilitymedian $457 · 10th to 90th $162 to $479Professionalmedian $209 · 10th to 90th $117 to $1,259
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 $138.04 Median $173.78 Typical High $660.69 | Facility | None | $138.04 | $173.78 | $660.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $316.23 | Facility | TC · Technical part | $87.10 | $131.83 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $120.23 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $77.62 | $100.00 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $478.63 | Facility | None | $457.09 | $457.09 | $478.63 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $457.09 | Facility | None | $128.82 | $147.91 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $97.72 | $257.04 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $37.15 | $75.86 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $60.26 | $208.93 | $269.15 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $2,511.89 | Facility | None | $162.18 | $257.04 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $309.03 Typical High $1,258.93 | Professional | None (both parts) | $120.23 | $309.03 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $114.82 Typical High $316.23 | Professional | 26 · Professional part | $43.65 | $114.82 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $251.19 Typical High $1,096.48 | Professional | TC · Technical part | $75.86 | $251.19 | $1,096.48 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $114.82 | $158.49 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $46.77 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $97.72 | $190.55 |
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 $57.54 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $32.36 | $32.36 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | CT · Older CT scanner | $104.71 | $138.04 | $138.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $100.00 | $131.83 | $131.83 |
Where Kansas sits
The same service costs 20.4 times more in Vermont 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.
Kansas· 8th of 51
$245
VT $1,585UT $77.62
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.