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 $26.30 Median $26.30 Typical High $36.31 | Facility | None | $26.30 | $26.30 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $36.31 | Professional | None (both parts) | $28.84 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $11.48 | Professional | 26 · Professional part | $9.12 | $10.96 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $25.12 | Professional | TC · Technical part | $20.42 | $23.99 | $25.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $169.82 Median $177.83 Typical High $177.83 | Facility | None | $169.82 | $177.83 | $177.83 |
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 $83.18 Median $120.23 Typical High $239.88 | Facility | None | $83.18 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $51.29 Typical High $52.48 | Professional | None (both parts) | $25.12 | $51.29 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $15.85 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $16.98 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $67.61 | Facility | None | $35.48 | $37.15 | $67.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $60.26 Typical High $208.93 | Professional | None (both parts) | $30.90 | $60.26 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $20.42 Typical High $77.62 | Professional | 26 · Professional part | $10.00 | $20.42 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $40.74 Typical High $194.98 | Professional | TC · Technical part | $20.42 | $40.74 | $194.98 |
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 $30.20 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $30.20 | $31.62 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $9.12 | $10.72 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $36.31 | Professional | TC · Technical part | $20.42 | $21.88 | $36.31 |
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 $14.79 Median $17.38 Typical High $18.20 | Professional | 52 · Reduced service | $14.79 | $17.38 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $7.24 | Professional | 53 · Discontinued | $6.03 | $6.92 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $27.54 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $27.54 | $28.84 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$50.12
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.