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 $38.02 Median $60.26 Typical High $70.79 | Facility | None | $38.02 | $60.26 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $51.29 | Professional | None (both parts) | $41.69 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $16.22 | Professional | 26 · Professional part | $12.88 | $15.14 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $35.48 | Professional | TC · Technical part | $28.84 | $33.11 | $35.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $208.93 | Facility | None | $199.53 | $208.93 | $208.93 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
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 $38.02 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $38.02 | $79.43 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $15.14 | $27.54 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $52.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $95.50 | Facility | None | $51.29 | $60.26 | $95.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $85.11 Typical High $316.23 | Professional | None (both parts) | $44.67 | $85.11 | $316.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $33.88 Typical High $107.15 | Professional | 26 · Professional part | $14.79 | $33.88 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $58.88 Typical High $295.12 | Professional | TC · Technical part | $29.51 | $58.88 | $295.12 |
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 $48.98 Typical High $75.86 | Professional | None (both parts) | $43.65 | $48.98 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $16.22 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $31.62 | $51.29 |
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 $20.89 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $20.89 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $8.32 | $9.77 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | FX · Film X-ray | $33.11 | $38.90 | $40.74 |
Where Kansas sits
The same service costs 4.0 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· 11th of 51
$77.62
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.