How much rates vary
Facilitymedian $1,096 · 10th to 90th $389 to $1,148Professionalmedian $479 · 10th to 90th $302 to $3,162
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 $346.74 Median $416.87 Typical High $812.83 | Facility | None | $346.74 | $416.87 | $812.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $851.14 | Facility | TC · Technical part | $234.42 | $371.54 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $302.00 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $134.90 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $338.84 | Professional | TC · Technical part | $213.80 | $269.15 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
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 $251.19 Median $602.56 Typical High $851.14 | Professional | None (both parts) | $251.19 | $602.56 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $158.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $524.81 Typical High $691.83 | Professional | TC · Technical part | $173.78 | $524.81 | $691.83 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $2,511.89 | Facility | None | $316.23 | $660.69 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $794.33 Typical High $3,162.28 | Professional | None (both parts) | $316.23 | $794.33 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $213.80 Typical High $1,000.00 | Professional | 26 · Professional part | $93.33 | $213.80 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $645.65 Typical High $2,691.53 | Professional | TC · Technical part | $218.78 | $645.65 | $2,691.53 |
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 $302.00 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $302.00 | $407.38 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $102.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $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 $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $138.04 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $56.23 | $81.28 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $257.04 Median $346.74 Typical High $346.74 | Professional | CT · Older CT scanner | $257.04 | $346.74 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $323.59 Typical High $323.59 | Professional | FX · Film X-ray | $239.88 | $323.59 | $323.59 |
Where Kansas sits
The same service costs 12.3 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· 15th of 51
$490
VT $2,089UT $170
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.