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 $33.88 Median $33.88 Typical High $75.86 | Facility | None | $33.88 | $33.88 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $54.95 | Professional | None (both parts) | $44.67 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $15.85 | Professional | 26 · Professional part | $12.59 | $15.14 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $38.90 | Professional | TC · Technical part | $30.90 | $36.31 | $38.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $181.97 | Facility | None | $173.78 | $181.97 | $181.97 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $457.09 | Facility | None | $120.23 | $144.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $36.31 | $67.61 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $22.91 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $44.67 Typical High $47.86 | Professional | TC · Technical part | $24.55 | $44.67 | $47.86 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $56.23 Typical High $102.33 | Facility | None | $52.48 | $56.23 | $102.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $436.52 | Professional | None (both parts) | $44.67 | $89.13 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.18 Typical High $97.72 | Professional | 26 · Professional part | $14.13 | $28.18 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $63.10 Typical High $426.58 | Professional | TC · Technical part | $30.90 | $63.10 | $426.58 |
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 $43.65 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $43.65 | $46.77 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $13.18 | $14.79 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $30.20 | $32.36 | $56.23 |
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 $22.39 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $22.39 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.47 Typical High $10.96 | Professional | 53 · Discontinued | $8.91 | $10.47 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | FX · Film X-ray | $35.48 | $41.69 | $43.65 |
Where Kansas sits
The same service costs 4.1 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· 15th of 51
$67.61
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.