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 $602.56 Median $794.33 Typical High $1,737.80 | Facility | None | $602.56 | $794.33 | $1,737.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $588.84 Typical High $1,174.90 | Facility | TC · Technical part | $407.38 | $588.84 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $426.58 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $234.42 Typical High $275.42 | Professional | 26 · Professional part | $138.04 | $234.42 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $288.40 | $436.52 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 26 · Professional part | $81.28 | $81.28 | $83.18 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
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 $316.23 Median $954.99 Typical High $1,659.59 | Professional | None (both parts) | $316.23 | $954.99 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $208.93 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $208.93 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $707.95 Typical High $1,445.44 | Professional | TC · Technical part | $213.80 | $707.95 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $3,090.30 | Facility | None | $549.54 | $912.01 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,445.44 Typical High $6,165.95 | Professional | None (both parts) | $389.05 | $1,445.44 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $436.52 Typical High $933.25 | Professional | 26 · Professional part | $117.49 | $436.52 | $933.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,348.96 Typical High $5,495.41 | Professional | TC · Technical part | $263.03 | $1,348.96 | $5,495.41 |
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 $363.08 Median $512.86 Typical High $1,258.93 | Professional | None (both parts) | $363.08 | $512.86 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $112.20 | $128.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $933.25 | Professional | TC · Technical part | $245.47 | $331.13 | $933.25 |
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 $223.87 Median $338.84 Typical High $398.11 | Professional | 52 · Reduced service | $223.87 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $134.90 Typical High $158.49 | Professional | 53 · Discontinued | $89.13 | $134.90 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $537.03 Typical High $630.96 | Professional | FX · Film X-ray | $354.81 | $537.03 | $630.96 |
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· 19th of 51
$589
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.