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 $31.62 Median $38.90 Typical High $51.29 | Facility | None | $31.62 | $38.90 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $51.29 | Professional | None (both parts) | $41.69 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $13.18 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | TC · Technical part | $30.20 | $35.48 | $37.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $169.82 | Facility | None | $162.18 | $169.82 | $169.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $144.54 Typical High $457.09 | Facility | None | $117.49 | $144.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $33.11 | $70.79 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $9.33 | $18.20 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $52.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $95.50 | Facility | None | $51.29 | $56.23 | $95.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $81.28 Typical High $288.40 | Professional | None (both parts) | $42.66 | $81.28 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $25.12 Typical High $107.15 | Professional | 26 · Professional part | $12.02 | $25.12 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $269.15 | Professional | TC · Technical part | $30.20 | $58.88 | $269.15 |
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 $42.66 Median $44.67 Typical High $74.13 | Professional | None (both parts) | $42.66 | $44.67 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $10.23 | $12.88 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $52.48 | Professional | TC · Technical part | $29.51 | $33.88 | $52.48 |
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 $20.89 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $20.89 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $8.32 | $9.77 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | FX · Film X-ray | $33.11 | $38.90 | $40.74 |
Where Kansas sits
The same service costs 3.9 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· 10th of 51
$70.79
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.