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 $35.48 Median $60.26 Typical High $85.11 | Facility | None | $35.48 | $60.26 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $79.43 | Facility | TC · Technical part | $46.77 | $69.18 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $60.26 | Professional | None (both parts) | $48.98 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $13.49 | Professional | 26 · Professional part | $10.72 | $12.88 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $46.77 | Professional | TC · Technical part | $37.15 | $44.67 | $46.77 |
BCBS Kansas Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Facility | None | $104.71 | $109.65 | $109.65 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $239.88 | Facility | None | $100.00 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $40.74 | $77.62 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $10.72 | $19.95 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $57.54 Typical High $58.88 | Professional | TC · Technical part | $29.51 | $57.54 | $58.88 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $60.26 Typical High $97.72 | Facility | None | $58.88 | $60.26 | $97.72 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $97.72 Typical High $346.74 | Professional | None (both parts) | $50.12 | $97.72 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $25.12 Typical High $141.25 | Professional | 26 · Professional part | $12.59 | $25.12 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $75.86 Typical High $275.42 | Professional | TC · Technical part | $36.31 | $75.86 | $275.42 |
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 $45.71 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $45.71 | $52.48 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $12.88 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $67.61 | Professional | TC · Technical part | $33.88 | $38.90 | $67.61 |
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 $24.55 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $9.77 | $11.48 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $45.71 Typical High $47.86 | Professional | FX · Film X-ray | $38.90 | $45.71 | $47.86 |
Where Kansas sits
The same service costs 4.5 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
$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.