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 $25.70 Median $39.81 Typical High $141.25 | Facility | None | $25.70 | $39.81 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $39.81 Typical High $79.43 | Facility | TC · Technical part | $25.70 | $39.81 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $30.90 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $8.51 | $10.47 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $35.48 | Professional | TC · Technical part | $21.38 | $28.84 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.92 Typical High $70.79 | Professional | None (both parts) | $22.39 | $26.92 | $70.79 |
BCBS Kansas Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Facility | None | $131.83 | $141.25 | $141.25 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $239.88 | Facility | None | $91.20 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $25.12 | $52.48 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $8.13 | $15.85 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $16.98 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $162.18 | Facility | None | $38.02 | $38.02 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $63.10 Typical High $223.87 | Professional | None (both parts) | $31.62 | $63.10 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $19.05 Typical High $89.13 | Professional | 26 · Professional part | $9.55 | $19.05 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $45.71 Typical High $177.83 | Professional | TC · Technical part | $22.39 | $45.71 | $177.83 |
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 $30.20 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $30.20 | $33.11 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $10.00 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $21.38 | $23.44 | $40.74 |
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 $16.22 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $7.59 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $30.20 Typical High $31.62 | Professional | FX · Film X-ray | $25.70 | $30.20 | $31.62 |
Where Kansas sits
The same service costs 15.5 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
$47.86
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.