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 $549.54 Median $758.58 Typical High $1,819.70 | Facility | None | $549.54 | $758.58 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $676.08 Typical High $933.25 | Facility | TC · Technical part | $426.58 | $676.08 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $645.65 Typical High $758.58 | Professional | None (both parts) | $426.58 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $194.98 | Professional | 26 · Professional part | $107.15 | $165.96 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $478.63 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $61.66 | $134.90 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,071.52 Typical High $2,630.27 | Facility | None | $933.25 | $1,071.52 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $676.08 Typical High $891.25 | Professional | None (both parts) | $309.03 | $676.08 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $134.90 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $602.56 Typical High $758.58 | Professional | TC · Technical part | $239.88 | $602.56 | $758.58 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $3,019.95 | Facility | None | $489.78 | $691.83 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $933.25 Typical High $3,311.31 | Professional | None (both parts) | $380.19 | $933.25 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $309.03 Typical High $588.84 | Professional | 26 · Professional part | $83.18 | $309.03 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $1,023.29 Typical High $2,951.21 | Professional | TC · Technical part | $295.12 | $1,023.29 | $2,951.21 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,445.44 | Facility | None | $912.01 | $912.01 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $354.81 | $501.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $275.42 | $371.54 | $616.60 |
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 $213.80 Median $323.59 Typical High $380.19 | Professional | 52 · Reduced service | $213.80 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $128.82 Typical High $154.88 | Professional | 53 · Discontinued | $85.11 | $128.82 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $512.86 Typical High $616.60 | Professional | FX · Film X-ray | $338.84 | $512.86 | $616.60 |
Where Kansas sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 16th of 51
$575
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.