How much rates vary
Facilitymedian $457 · 10th to 90th $200 to $479Professionalmedian $251 · 10th to 90th $158 to $1,380
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 $128.82 Median $208.93 Typical High $660.69 | Facility | None | $128.82 | $208.93 | $660.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $398.11 | Facility | TC · Technical part | $114.82 | $173.78 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $158.49 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $100.00 | $125.89 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $35.48 | $36.31 | $83.18 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
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 $151.36 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $151.36 | $309.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $43.65 | $89.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $251.19 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $251.19 | $281.84 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $2,511.89 | Facility | None | $177.83 | $323.59 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $398.11 Typical High $1,380.38 | Professional | None (both parts) | $162.18 | $398.11 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $134.90 Typical High $302.00 | Professional | 26 · Professional part | $51.29 | $134.90 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $275.42 Typical High $1,318.26 | Professional | TC · Technical part | $109.65 | $275.42 | $1,318.26 |
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 $151.36 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $151.36 | $208.93 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $56.23 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $141.25 | $229.09 |
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 $79.43 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $79.43 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $31.62 | $39.81 | $39.81 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $169.82 Typical High $169.82 | Professional | CT · Older CT scanner | $134.90 | $169.82 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $125.89 | $158.49 | $158.49 |
Where Kansas sits
The same service costs 5.8 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
$282
VT $603UT $105
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.