How much rates vary
Facilitymedian $110 · 10th to 90th $39 to $115Professionalmedian $38 · 10th to 90th $27 to $209
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 $26.92 Median $38.90 Typical High $40.74 | Facility | None | $26.92 | $38.90 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $38.90 Typical High $45.71 | Facility | TC · Technical part | $24.55 | $38.90 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | None (both parts) | $28.84 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $11.48 | Professional | 26 · Professional part | $7.59 | $9.12 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $27.54 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $66.07 | $66.07 | $79.43 |
BCBS Kansas Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Facility | None | $109.65 | $114.82 | $114.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $239.88 | Facility | None | $87.10 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $44.67 Typical High $45.71 | Professional | None (both parts) | $23.44 | $44.67 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $7.24 | $12.88 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $32.36 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $32.36 | $33.11 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $69.18 | Facility | None | $35.48 | $35.48 | $69.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $58.88 Typical High $208.93 | Professional | None (both parts) | $29.51 | $58.88 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.98 Typical High $79.43 | Professional | 26 · Professional part | $8.32 | $16.98 | $79.43 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $44.67 Typical High $162.18 | Professional | TC · Technical part | $21.88 | $44.67 | $162.18 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Facility | None | $102.33 | $102.33 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $52.48 | Professional | None (both parts) | $26.92 | $31.62 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $14.79 | Professional | 26 · Professional part | $7.59 | $8.71 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $38.90 | Professional | TC · Technical part | $19.50 | $22.91 | $38.90 |
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 $15.14 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $7.08 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $28.18 Typical High $29.51 | Professional | FX · Film X-ray | $24.55 | $28.18 | $29.51 |
Where Kansas sits
The same service costs 6.0 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· 18th of 51
$44.67
VT $155FL $25.70
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.