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 $54.95 Median $54.95 Typical High $117.49 | Facility | None | $54.95 | $54.95 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $95.50 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $17.78 | Professional | 26 · Professional part | $14.45 | $16.98 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $97.72 | Professional | TC · Technical part | $81.28 | $93.33 | $97.72 |
BCBS Kansas Setting Facility Modifier None Typical Low $190.55 Median $199.53 Typical High $199.53 | Facility | None | $190.55 | $199.53 | $199.53 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $457.09 | Facility | None | $107.15 | $128.82 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $67.61 | $141.25 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $12.88 | $26.92 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $120.23 | $120.23 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $141.25 | Facility | None | $95.50 | $97.72 | $141.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $169.82 Typical High $616.60 | Professional | None (both parts) | $77.62 | $169.82 | $616.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $30.20 Typical High $162.18 | Professional | 26 · Professional part | $15.14 | $30.20 | $162.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $144.54 Typical High $512.86 | Professional | TC · Technical part | $60.26 | $144.54 | $512.86 |
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 $69.18 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $69.18 | $89.13 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $15.49 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $74.13 | $131.83 |
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 $47.86 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $89.13 | $93.33 |
Where Kansas sits
The same service costs 4.3 times more in Alaska than in New York. 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· 21st of 51
$123
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.