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 $43.65 Typical High $114.82 | Facility | None | $26.30 | $43.65 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $47.86 Typical High $52.48 | Facility | TC · Technical part | $30.90 | $47.86 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $41.69 | Professional | None (both parts) | $33.11 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $12.02 | Professional | 26 · Professional part | $8.32 | $10.23 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $30.90 | Professional | TC · Technical part | $24.55 | $28.84 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $15.49 | Professional | 26 · Professional part | $6.61 | $6.61 | $15.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $144.54 | Facility | None | $134.90 | $141.25 | $144.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $457.09 | Facility | None | $97.72 | $144.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $30.20 | $56.23 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.50 Typical High $19.95 | Professional | 26 · Professional part | $10.72 | $19.50 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $36.31 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $36.31 | $38.90 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $46.77 Typical High $147.91 | Facility | None | $40.74 | $46.77 | $147.91 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $67.61 Typical High $229.09 | Professional | None (both parts) | $35.48 | $67.61 | $229.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $24.55 Typical High $77.62 | Professional | 26 · Professional part | $10.47 | $24.55 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $48.98 Typical High $213.80 | Professional | TC · Technical part | $24.55 | $48.98 | $213.80 |
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 $34.67 Median $36.31 Typical High $61.66 | Professional | None (both parts) | $34.67 | $36.31 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $10.96 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $25.70 | $43.65 |
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 $16.60 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $19.50 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $6.76 | $7.76 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $30.90 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $30.90 | $32.36 |
Where Kansas sits
The same service costs 3.6 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· 11th of 51
$56.23
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.