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 $302.00 Median $407.38 Typical High $812.83 | Facility | None | $302.00 | $407.38 | $812.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $1,148.15 | Facility | TC · Technical part | $234.42 | $371.54 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $295.12 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $331.13 | Professional | TC · Technical part | $213.80 | $269.15 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,096.48 | $1,148.15 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $1,071.52 | Facility | None | $218.78 | $245.47 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $707.95 Typical High $758.58 | Professional | None (both parts) | $245.47 | $707.95 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $144.54 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $588.84 Typical High $616.60 | Professional | TC · Technical part | $169.82 | $588.84 | $616.60 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $831.76 Typical High $2,511.89 | Facility | None | $389.05 | $831.76 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $776.25 Typical High $3,235.94 | Professional | None (both parts) | $309.03 | $776.25 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $234.42 Typical High $562.34 | Professional | 26 · Professional part | $89.13 | $234.42 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $691.83 Typical High $2,754.23 | Professional | TC · Technical part | $218.78 | $691.83 | $2,754.23 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $323.59 | Facility | None | $204.17 | $204.17 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $295.12 | $398.11 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $95.50 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $204.17 | $281.84 | $537.03 |
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 $138.04 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $138.04 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $54.95 | $79.43 | $79.43 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $257.04 Median $338.84 Typical High $338.84 | Professional | CT · Older CT scanner | $257.04 | $338.84 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $316.23 Typical High $316.23 | Professional | FX · Film X-ray | $239.88 | $316.23 | $316.23 |
Where Kansas sits
The same service costs 7.6 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· 9th of 51
$550
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.