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 $446.68 Median $1,148.15 Typical High $1,819.70 | Facility | None | $446.68 | $1,148.15 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $309.03 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $134.90 Typical High $162.18 | Professional | 26 · Professional part | $87.10 | $134.90 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $223.87 | $338.84 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $524.81 Median $537.03 Typical High $549.54 | Facility | None | $524.81 | $537.03 | $549.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $912.01 | Facility | None | $295.12 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $223.87 | $630.96 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $58.88 | $120.23 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $524.81 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $524.81 | $630.96 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,570.40 | Facility | None | $446.68 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $891.25 Typical High $2,818.38 | Professional | None (both parts) | $275.42 | $891.25 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $257.04 Typical High $630.96 | Professional | 26 · Professional part | $67.61 | $257.04 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $707.95 Typical High $2,454.71 | Professional | TC · Technical part | $199.53 | $707.95 | $2,454.71 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $446.68 | Facility | None | $281.84 | $281.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $251.19 | $371.54 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $275.42 | $512.86 |
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 $154.88 Median $234.42 Typical High $281.84 | Professional | 52 · Reduced service | $154.88 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $95.50 Typical High $112.20 | Professional | 53 · Discontinued | $61.66 | $95.50 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $380.19 Typical High $446.68 | Professional | FX · Film X-ray | $251.19 | $380.19 | $446.68 |
Where Kansas sits
The same service costs 5.8 times more in Wyoming 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· 5th of 51
$525
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.