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 $616.60 Median $912.01 Typical High $1,819.70 | Facility | None | $616.60 | $912.01 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $501.19 Median $741.31 Typical High $1,737.80 | Facility | TC · Technical part | $501.19 | $741.31 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $436.52 | $724.44 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $114.82 | $181.97 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $537.03 Typical High $630.96 | Professional | TC · Technical part | $331.13 | $537.03 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS Kansas Setting Facility Modifier None Typical Low $630.96 Median $645.65 Typical High $660.69 | Facility | None | $630.96 | $645.65 | $660.69 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $1,737.80 | Facility | None | $436.52 | $512.86 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $1,023.29 Typical High $1,412.54 | Professional | None (both parts) | $354.81 | $1,023.29 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $147.91 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $891.25 Typical High $1,258.93 | Professional | TC · Technical part | $281.84 | $891.25 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $3,388.44 | Facility | None | $660.69 | $1,202.26 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,288.25 Typical High $5,370.32 | Professional | None (both parts) | $407.38 | $1,288.25 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $288.40 Typical High $812.83 | Professional | 26 · Professional part | $91.20 | $288.40 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,230.27 Typical High $4,897.79 | Professional | TC · Technical part | $309.03 | $1,230.27 | $4,897.79 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $645.65 | Facility | None | $407.38 | $407.38 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $467.74 Typical High $1,122.02 | Professional | None (both parts) | $380.19 | $467.74 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $354.81 Typical High $912.01 | Professional | TC · Technical part | $288.40 | $354.81 | $912.01 |
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 $239.88 Median $363.08 Typical High $426.58 | Professional | 52 · Reduced service | $239.88 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $144.54 Typical High $169.82 | Professional | 53 · Discontinued | $95.50 | $144.54 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $575.44 Typical High $676.08 | Professional | FX · Film X-ray | $380.19 | $575.44 | $676.08 |
Where Kansas sits
The same service costs 5.6 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· 19th of 51
$661
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.