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 $512.86 Median $1,148.15 Typical High $1,819.70 | Facility | None | $512.86 | $1,148.15 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $371.54 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $112.20 | $173.78 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $257.04 | $389.05 | $457.09 |
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 $263.03 Median $724.44 Typical High $912.01 | Professional | None (both parts) | $263.03 | $724.44 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $144.54 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $616.60 Typical High $758.58 | Professional | TC · Technical part | $190.55 | $616.60 | $758.58 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $2,630.27 | Facility | None | $575.44 | $741.31 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $977.24 Typical High $3,388.44 | Professional | None (both parts) | $323.59 | $977.24 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $331.13 Typical High $660.69 | Professional | 26 · Professional part | $87.10 | $331.13 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $812.83 Typical High $2,951.21 | Professional | TC · Technical part | $234.42 | $812.83 | $2,951.21 |
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 $79.43 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $93.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $213.80 | $316.23 | $588.84 |
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 $186.21 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $186.21 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $74.13 | $112.20 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $446.68 Typical High $537.03 | Professional | FX · Film X-ray | $295.12 | $446.68 | $537.03 |
Where Kansas sits
The same service costs 5.6 times more in Wyoming than in Texas. 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.