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 $21.88 Median $40.74 Typical High $46.77 | Facility | None | $21.88 | $40.74 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $38.02 | Professional | None (both parts) | $30.90 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $10.00 | Professional | 26 · Professional part | $7.94 | $9.33 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $28.18 | Professional | TC · Technical part | $22.39 | $26.92 | $28.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $141.25 | Facility | None | $134.90 | $141.25 | $141.25 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $457.09 | Facility | None | $91.20 | $144.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $24.55 | $46.77 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $14.13 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $33.11 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $33.11 | $33.88 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $37.15 Typical High $70.79 | Facility | None | $36.31 | $37.15 | $70.79 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $60.26 Typical High $208.93 | Professional | None (both parts) | $30.90 | $60.26 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $17.78 Typical High $83.18 | Professional | 26 · Professional part | $8.91 | $17.78 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $44.67 Typical High $158.49 | Professional | TC · Technical part | $21.88 | $44.67 | $158.49 |
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 $28.18 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $28.18 | $32.36 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $9.12 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $39.81 | Professional | TC · Technical part | $20.42 | $23.44 | $39.81 |
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 $15.49 Median $18.20 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.24 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $7.24 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $28.84 Typical High $30.90 | Professional | FX · Film X-ray | $25.12 | $28.84 | $30.90 |
Where Kansas sits
The same service costs 3.7 times more in Alaska 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· 17th of 51
$44.67
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.