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 $660.69 Median $1,479.11 Typical High $1,819.70 | Facility | None | $660.69 | $1,479.11 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,258.93 Typical High $1,479.11 | Professional | None (both parts) | $602.56 | $1,258.93 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $323.59 Typical High $380.19 | Professional | 26 · Professional part | $181.97 | $323.59 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,148.15 Typical High $1,348.96 | Professional | TC · Technical part | $588.84 | $1,148.15 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $549.54 | Facility | None | $524.81 | $524.81 | $549.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,348.96 | Facility | None | $676.08 | $741.31 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,148.15 Typical High $2,187.76 | Professional | None (both parts) | $1,122.02 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $245.47 Typical High $257.04 | Professional | 26 · Professional part | $134.90 | $245.47 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $1,949.84 | Professional | TC · Technical part | $891.25 | $891.25 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $660.69 Typical High $4,466.84 | Facility | None | $616.60 | $660.69 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,202.26 Typical High $7,079.46 | Professional | None (both parts) | $436.52 | $1,202.26 | $7,079.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $616.60 Typical High $1,659.59 | Professional | 26 · Professional part | $158.49 | $616.60 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $891.25 Typical High $6,918.31 | Professional | TC · Technical part | $263.03 | $891.25 | $6,918.31 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Facility | None | $645.65 | $645.65 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $660.69 Typical High $1,202.26 | Professional | None (both parts) | $354.81 | $660.69 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $316.23 | Professional | 26 · Professional part | $134.90 | $173.78 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $489.78 Typical High $912.01 | Professional | TC · Technical part | $218.78 | $489.78 | $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 $371.54 Median $630.96 Typical High $741.31 | Professional | 52 · Reduced service | $371.54 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $251.19 Typical High $295.12 | Professional | 53 · Discontinued | $151.36 | $251.19 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $660.69 Median $1,000.00 Typical High $1,174.90 | Professional | FX · Film X-ray | $660.69 | $1,000.00 | $1,174.90 |
Where Kansas sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 30th of 51
$708
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.