How much rates vary
Facilitymedian $166 · 10th to 90th $50 to $174Professionalmedian $47 · 10th to 90th $36 to $257
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 $29.51 Median $44.67 Typical High $63.10 | Facility | None | $29.51 | $44.67 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $56.23 | Facility | TC · Technical part | $28.84 | $45.71 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $56.23 | Professional | None (both parts) | $37.15 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $12.59 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $26.92 | $32.36 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $69.18 | Professional | None (both parts) | $25.12 | $29.51 | $69.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $165.96 Median $173.78 Typical High $173.78 | Facility | None | $165.96 | $173.78 | $173.78 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $457.09 | Facility | None | $102.33 | $144.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $57.54 Typical High $60.26 | Professional | None (both parts) | $30.90 | $57.54 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $18.20 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $39.81 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $39.81 | $40.74 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $50.12 Typical High $158.49 | Facility | None | $43.65 | $50.12 | $158.49 |
Medica Setting Professional Modifier None (both parts) Typical Low $37.15 Median $72.44 Typical High $257.04 | Professional | None (both parts) | $37.15 | $72.44 | $257.04 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $22.39 Typical High $83.18 | Professional | 26 · Professional part | $11.48 | $22.39 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $51.29 Typical High $208.93 | Professional | TC · Technical part | $26.30 | $51.29 | $208.93 |
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 $37.15 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $37.15 | $38.90 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $10.23 | $11.75 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $25.70 | $26.92 | $46.77 |
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 $18.62 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.71 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | FX · Film X-ray | $29.51 | $34.67 | $36.31 |
Where Kansas sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 13th of 51
$57.54
VT $389FL $30.90
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.