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 $575.44 Median $1,148.15 Typical High $1,819.70 | Facility | None | $575.44 | $1,148.15 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $575.44 Typical High $676.08 | Professional | None (both parts) | $380.19 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $117.49 | $181.97 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $398.11 Typical High $467.74 | Professional | TC · Technical part | $263.03 | $398.11 | $467.74 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $1,737.80 | Facility | None | $416.87 | $512.86 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $269.15 | $741.31 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $158.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $630.96 Typical High $776.25 | Professional | TC · Technical part | $190.55 | $630.96 | $776.25 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $2,691.53 | Facility | None | $588.84 | $758.58 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,000.00 Typical High $3,467.37 | Professional | None (both parts) | $331.13 | $1,000.00 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $338.84 Typical High $645.65 | Professional | 26 · Professional part | $91.20 | $338.84 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $831.76 Typical High $3,019.95 | Professional | TC · Technical part | $234.42 | $831.76 | $3,019.95 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $645.65 | Facility | None | $407.38 | $407.38 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $302.00 | $446.68 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $97.72 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $295.12 | $602.56 |
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 $190.55 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $190.55 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $75.86 | $114.82 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $457.09 Typical High $549.54 | Professional | FX · Film X-ray | $302.00 | $457.09 | $549.54 |
Where Kansas sits
The same service costs 5.9 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
$550
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.