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 $27.54 Median $42.66 Typical High $51.29 | Facility | None | $27.54 | $42.66 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $44.67 Typical High $56.23 | Facility | TC · Technical part | $28.84 | $44.67 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $52.48 | Professional | None (both parts) | $32.36 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $12.30 | Professional | 26 · Professional part | $7.94 | $9.55 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $39.81 | Professional | TC · Technical part | $23.99 | $32.36 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.84 Typical High $74.13 | Professional | None (both parts) | $25.70 | $28.84 | $74.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $134.90 Typical High $138.04 | Facility | None | $128.82 | $134.90 | $138.04 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $239.88 | Facility | None | $100.00 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $26.30 | $51.29 | $51.29 |
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 $20.42 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $37.15 | $37.15 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $162.18 | Facility | None | $39.81 | $39.81 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $66.07 Typical High $234.42 | Professional | None (both parts) | $32.36 | $66.07 | $234.42 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $17.78 Typical High $67.61 | Professional | 26 · Professional part | $8.91 | $17.78 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $50.12 Typical High $181.97 | Professional | TC · Technical part | $23.44 | $50.12 | $181.97 |
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 $35.48 Typical High $58.88 | Professional | None (both parts) | $30.20 | $35.48 | $58.88 |
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 $21.88 Median $26.30 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $26.30 | $45.71 |
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 $17.38 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $17.38 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $8.13 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $32.36 Typical High $33.88 | Professional | FX · Film X-ray | $27.54 | $32.36 | $33.88 |
Where Kansas sits
The same service costs 13.5 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· 17th of 51
$50.12
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.