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 $630.96 Median $1,023.29 Typical High $1,819.70 | Facility | None | $630.96 | $1,023.29 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $1,258.93 Typical High $1,258.93 | Facility | TC · Technical part | $537.03 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $794.33 Typical High $954.99 | Professional | None (both parts) | $478.63 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $218.78 Typical High $257.04 | Professional | 26 · Professional part | $128.82 | $218.78 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $588.84 Typical High $691.83 | Professional | TC · Technical part | $338.84 | $588.84 | $691.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $75.86 | $75.86 | $165.96 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $1,737.80 | Facility | None | $436.52 | $512.86 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $933.25 Typical High $1,584.89 | Professional | None (both parts) | $389.05 | $933.25 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $177.83 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $870.96 Typical High $1,412.54 | Professional | TC · Technical part | $295.12 | $870.96 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $933.25 Typical High $3,801.89 | Facility | None | $660.69 | $933.25 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,513.56 Typical High $6,025.60 | Professional | None (both parts) | $478.63 | $1,513.56 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $407.38 Typical High $891.25 | Professional | 26 · Professional part | $109.65 | $407.38 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $1,318.26 Typical High $5,495.41 | Professional | TC · Technical part | $354.81 | $1,318.26 | $5,495.41 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $645.65 | Facility | None | $407.38 | $407.38 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $1,202.26 | Professional | None (both parts) | $436.52 | $630.96 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $114.82 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $1,096.48 | Professional | TC · Technical part | $331.13 | $446.68 | $1,096.48 |
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 $245.47 Median $398.11 Typical High $478.63 | Professional | 52 · Reduced service | $245.47 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $162.18 Typical High $190.55 | Professional | 53 · Discontinued | $97.72 | $162.18 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $645.65 Typical High $758.58 | Professional | FX · Film X-ray | $426.58 | $645.65 | $758.58 |
Where Kansas sits
The same service costs 6.0 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· 21st of 51
$646
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.