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 $28.18 Median $43.65 Typical High $52.48 | Facility | None | $28.18 | $43.65 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $60.26 | Facility | TC · Technical part | $31.62 | $45.71 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $31.62 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.76 Typical High $9.77 | Professional | 26 · Professional part | $6.31 | $7.76 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $43.65 | Professional | TC · Technical part | $25.12 | $35.48 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $26.30 | $67.61 | $77.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Facility | None | $104.71 | $109.65 | $109.65 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
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 $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 $6.03 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $6.03 | $12.02 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $40.74 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $40.74 | $41.69 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $38.02 Typical High $131.83 | Facility | None | $37.15 | $38.02 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $27.54 Median $67.61 Typical High $239.88 | Professional | None (both parts) | $27.54 | $67.61 | $239.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $14.13 Typical High $51.29 | Professional | 26 · Professional part | $7.08 | $14.13 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $54.95 Typical High $199.53 | Professional | TC · Technical part | $20.89 | $54.95 | $199.53 |
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 $26.30 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $26.30 | $35.48 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.41 Typical High $12.30 | Professional | 26 · Professional part | $6.03 | $7.41 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $28.84 | $50.12 |
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 $17.78 Median $20.89 Typical High $21.88 | Professional | 52 · Reduced service | $17.78 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $8.32 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $33.11 Typical High $34.67 | Professional | FX · Film X-ray | $28.18 | $33.11 | $34.67 |
Where Kansas sits
The same service costs 11.5 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· 19th of 51
$46.77
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.