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 $380.19 Median $501.19 Typical High $812.83 | Facility | None | $380.19 | $501.19 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $239.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $93.33 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $165.96 | $208.93 | $208.93 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
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 $223.87 Median $478.63 Typical High $616.60 | Professional | None (both parts) | $223.87 | $478.63 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $104.71 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $416.87 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $489.78 Typical High $2,511.89 | Facility | None | $309.03 | $489.78 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $602.56 Typical High $2,290.87 | Professional | None (both parts) | $239.88 | $602.56 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $169.82 Typical High $524.81 | Professional | 26 · Professional part | $64.57 | $169.82 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $478.63 Typical High $1,995.26 | Professional | TC · Technical part | $173.78 | $478.63 | $1,995.26 |
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 $229.09 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $229.09 | $316.23 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $69.18 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $223.87 | $389.05 |
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 $117.49 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $60.26 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | CT · Older CT scanner | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | FX · Film X-ray | $190.55 | $239.88 | $239.88 |
Where Kansas sits
The same service costs 5.2 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.
Kansas· 5th of 51
$447
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.