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 $467.74 Median $1,148.15 Typical High $1,819.70 | Facility | None | $467.74 | $1,148.15 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $660.69 Typical High $776.25 | Professional | None (both parts) | $426.58 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $147.91 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $331.13 | $501.19 | $602.56 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
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 $338.84 Median $707.95 Typical High $776.25 | Professional | None (both parts) | $338.84 | $707.95 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $128.82 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $128.82 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $616.60 Typical High $630.96 | Professional | TC · Technical part | $275.42 | $616.60 | $630.96 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $2,884.03 | Facility | None | $446.68 | $724.44 | $2,884.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,000.00 Typical High $3,090.30 | Professional | None (both parts) | $416.87 | $1,000.00 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $275.42 Typical High $676.08 | Professional | 26 · Professional part | $74.13 | $275.42 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,174.90 Typical High $2,691.53 | Professional | TC · Technical part | $338.84 | $1,174.90 | $2,691.53 |
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 $380.19 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $380.19 | $489.78 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $309.03 | $398.11 | $616.60 |
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 $213.80 Median $323.59 Typical High $389.05 | Professional | 52 · Reduced service | $213.80 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $131.83 Typical High $154.88 | Professional | 53 · Discontinued | $87.10 | $131.83 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $524.81 Typical High $616.60 | Professional | FX · Film X-ray | $346.74 | $524.81 | $616.60 |
Where Kansas sits
The same service costs 6.3 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· 15th of 51
$575
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.