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 $239.88 Median $346.74 Typical High $812.83 | Facility | None | $239.88 | $346.74 | $812.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $489.78 | Facility | TC · Technical part | $169.82 | $281.84 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $199.53 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $134.90 | $169.82 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $41.69 | $95.50 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
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 $190.55 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $190.55 | $389.05 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $50.12 | $104.71 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $323.59 Typical High $389.05 | Professional | TC · Technical part | $138.04 | $323.59 | $389.05 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $2,511.89 | Facility | None | $257.04 | $389.05 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $489.78 Typical High $1,621.81 | Professional | None (both parts) | $204.17 | $489.78 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $154.88 Typical High $380.19 | Professional | 26 · Professional part | $58.88 | $154.88 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $354.81 Typical High $1,348.96 | Professional | TC · Technical part | $141.25 | $354.81 | $1,348.96 |
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 $190.55 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $190.55 | $263.03 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $64.57 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $181.97 | $295.12 |
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 $97.72 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $39.81 | $51.29 | $51.29 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | CT · Older CT scanner | $169.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $162.18 | $204.17 | $204.17 |
Where Kansas sits
The same service costs 5.4 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· 11th of 51
$339
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.