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 $38.90 Median $61.66 Typical High $87.10 | Facility | None | $38.90 | $61.66 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $162.18 | Facility | TC · Technical part | $45.71 | $72.44 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $48.98 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | 26 · Professional part | $12.30 | $15.49 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $56.23 | Professional | TC · Technical part | $37.15 | $45.71 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $41.69 | $54.95 | $66.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $229.09 | Facility | None | $218.78 | $229.09 | $229.09 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $457.09 | Facility | None | $125.89 | $144.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $39.81 | $79.43 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $25.12 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $53.70 Typical High $57.54 | Professional | TC · Technical part | $28.84 | $53.70 | $57.54 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $120.23 | Facility | None | $58.88 | $67.61 | $120.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $95.50 Typical High $346.74 | Professional | None (both parts) | $50.12 | $95.50 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $27.54 Typical High $114.82 | Professional | 26 · Professional part | $14.13 | $27.54 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $70.79 Typical High $257.04 | Professional | TC · Technical part | $36.31 | $70.79 | $257.04 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $50.12 | $51.29 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $13.49 | $14.45 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $64.57 | Professional | TC · Technical part | $35.48 | $37.15 | $64.57 |
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 $25.12 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $25.12 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $10.00 | $11.75 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $46.77 Typical High $48.98 | Professional | FX · Film X-ray | $39.81 | $46.77 | $48.98 |
Where Kansas sits
The same service costs 4.8 times more in Alaska 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· 14th of 51
$77.62
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.