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 $478.63 Median $794.33 Typical High $1,513.56 | Facility | None | $478.63 | $794.33 | $1,513.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $512.86 Typical High $1,288.25 | Facility | TC · Technical part | $346.74 | $512.86 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $426.58 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $234.42 Typical High $275.42 | Professional | 26 · Professional part | $128.82 | $234.42 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $288.40 | $436.52 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $1,737.80 | Facility | None | $416.87 | $512.86 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $977.24 Typical High $1,621.81 | Professional | None (both parts) | $309.03 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $100.00 | $194.98 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $724.44 Typical High $1,445.44 | Professional | TC · Technical part | $213.80 | $724.44 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $954.99 Typical High $3,090.30 | Facility | None | $549.54 | $954.99 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,348.96 Typical High $6,165.95 | Professional | None (both parts) | $380.19 | $1,348.96 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $436.52 Typical High $912.01 | Professional | 26 · Professional part | $117.49 | $436.52 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $1,348.96 Typical High $5,495.41 | Professional | TC · Technical part | $257.04 | $1,348.96 | $5,495.41 |
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 $363.08 Median $512.86 Typical High $1,258.93 | Professional | None (both parts) | $363.08 | $512.86 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $107.15 | $123.03 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $912.01 | Professional | TC · Technical part | $239.88 | $331.13 | $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 $218.78 Median $331.13 Typical High $398.11 | Professional | 52 · Reduced service | $218.78 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $134.90 Typical High $158.49 | Professional | 53 · Discontinued | $89.13 | $134.90 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $537.03 Typical High $630.96 | Professional | FX · Film X-ray | $354.81 | $537.03 | $630.96 |
Where Kansas sits
The same service costs 6.6 times more in Vermont 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· 18th of 51
$603
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.