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 $17.78 Median $33.11 Typical High $52.48 | Facility | None | $17.78 | $33.11 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $46.77 | Facility | TC · Technical part | $27.54 | $39.81 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $37.15 | Professional | None (both parts) | $28.84 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $10.23 | Professional | 26 · Professional part | $8.13 | $9.77 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $27.54 | Professional | TC · Technical part | $20.89 | $25.70 | $27.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 26 · Professional part | $6.61 | $6.61 | $6.61 |
BCBS Kansas Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Facility | None | $104.71 | $104.71 | $109.65 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $239.88 | Facility | None | $87.10 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $43.65 Typical High $45.71 | Professional | None (both parts) | $23.99 | $43.65 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $7.24 | $14.13 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $30.20 Typical High $32.36 | Professional | TC · Technical part | $17.38 | $30.20 | $32.36 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $36.31 Typical High $70.79 | Facility | None | $35.48 | $36.31 | $70.79 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $58.88 Typical High $208.93 | Professional | None (both parts) | $28.84 | $58.88 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $16.98 Typical High $83.18 | Professional | 26 · Professional part | $8.71 | $16.98 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $43.65 Typical High $154.88 | Professional | TC · Technical part | $19.05 | $43.65 | $154.88 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Facility | None | $102.33 | $102.33 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $52.48 | Professional | None (both parts) | $26.92 | $31.62 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $8.32 | $8.91 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $18.20 | $22.39 | $38.90 |
3 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 $15.49 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $28.84 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $28.84 | $30.20 |
Where Kansas sits
The same service costs 4.1 times more in Alaska than in New York. 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· 18th of 51
$43.65
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.