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 $457.09 Median $741.31 Typical High $1,819.70 | Facility | None | $457.09 | $741.31 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $645.65 Typical High $912.01 | Facility | TC · Technical part | $380.19 | $645.65 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $630.96 Typical High $741.31 | Professional | None (both parts) | $416.87 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $138.04 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $138.04 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $489.78 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $489.78 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $524.81 Median $537.03 Typical High $549.54 | Facility | None | $524.81 | $537.03 | $549.54 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $912.01 | Facility | None | $295.12 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $645.65 Typical High $741.31 | Professional | None (both parts) | $302.00 | $645.65 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $112.20 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $575.44 Typical High $630.96 | Professional | TC · Technical part | $239.88 | $575.44 | $630.96 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $2,818.38 | Facility | None | $446.68 | $660.69 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $912.01 Typical High $2,818.38 | Professional | None (both parts) | $371.54 | $912.01 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $257.04 Typical High $467.74 | Professional | 26 · Professional part | $69.18 | $257.04 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $1,047.13 Typical High $2,511.89 | Professional | TC · Technical part | $295.12 | $1,047.13 | $2,511.89 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $446.68 | Facility | None | $281.84 | $281.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $338.84 | $457.09 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $549.54 | Professional | TC · Technical part | $275.42 | $354.81 | $549.54 |
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 $208.93 Median $316.23 Typical High $371.54 | Professional | 52 · Reduced service | $208.93 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $125.89 Typical High $147.91 | Professional | 53 · Discontinued | $83.18 | $125.89 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $501.19 Typical High $588.84 | Professional | FX · Film X-ray | $331.13 | $501.19 | $588.84 |
Where Kansas sits
The same service costs 5.1 times more in Wyoming than in Utah. 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· 15th of 51
$550
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.