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 $295.12 Median $501.19 Typical High $812.83 | Facility | None | $295.12 | $501.19 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $234.42 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $165.96 | $208.93 | $263.03 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
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 $229.09 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $229.09 | $467.74 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $100.00 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $416.87 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $416.87 | $489.78 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $2,511.89 | Facility | None | $302.00 | $489.78 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $616.60 Typical High $2,089.30 | Professional | None (both parts) | $245.47 | $616.60 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $165.96 Typical High $380.19 | Professional | 26 · Professional part | $61.66 | $165.96 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $446.68 Typical High $1,737.80 | Professional | TC · Technical part | $177.83 | $446.68 | $1,737.80 |
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 $489.78 | Professional | None (both parts) | $229.09 | $316.23 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $229.09 | $371.54 |
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 $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $117.49 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $58.88 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | CT · Older CT scanner | $199.53 | $251.19 | $251.19 |
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 5.1 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· 12th of 51
$407
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.