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 $309.03 Median $501.19 Typical High $812.83 | Facility | None | $309.03 | $501.19 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $407.38 | Professional | None (both parts) | $302.00 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $269.15 | $323.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $213.80 Median $223.87 Typical High $223.87 | Facility | None | $213.80 | $223.87 | $223.87 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
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 $275.42 Median $562.34 Typical High $776.25 | Professional | None (both parts) | $275.42 | $562.34 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $147.91 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $199.53 | $467.74 | $616.60 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $2,511.89 | Facility | None | $331.13 | $602.56 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $776.25 Typical High $2,884.03 | Professional | None (both parts) | $346.74 | $776.25 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $239.88 Typical High $537.03 | Professional | 26 · Professional part | $91.20 | $239.88 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $616.60 Typical High $2,398.83 | Professional | TC · Technical part | $245.47 | $616.60 | $2,398.83 |
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 $323.59 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $323.59 | $436.52 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $100.00 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $323.59 | $501.19 |
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 $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $54.95 | $81.28 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | CT · Older CT scanner | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | FX · Film X-ray | $251.19 | $323.59 | $323.59 |
Where Kansas sits
The same service costs 6.0 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· 23rd of 51
$427
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.