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 $22.91 Median $38.90 Typical High $89.13 | Facility | None | $22.91 | $38.90 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $39.81 Typical High $50.12 | Facility | TC · Technical part | $25.70 | $39.81 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $30.90 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $11.48 | Professional | 26 · Professional part | $7.59 | $9.12 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $35.48 | Professional | TC · Technical part | $21.88 | $28.84 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $81.28 | Professional | None (both parts) | $23.99 | $28.84 | $81.28 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $239.88 | Facility | None | $93.33 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $24.55 | $50.12 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $7.24 | $15.85 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $33.88 | $36.31 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $162.18 | Facility | None | $37.15 | $37.15 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $63.10 Typical High $218.78 | Professional | None (both parts) | $30.90 | $63.10 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $16.98 Typical High $67.61 | Professional | 26 · Professional part | $8.71 | $16.98 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $47.86 Typical High $169.82 | Professional | TC · Technical part | $21.88 | $47.86 | $169.82 |
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 $28.18 Median $33.88 Typical High $56.23 | Professional | None (both parts) | $28.18 | $33.88 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $14.79 | Professional | 26 · Professional part | $8.32 | $8.71 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $25.12 | $42.66 |
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 $15.85 Median $18.20 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.41 Typical High $7.76 | Professional | 53 · Discontinued | $6.31 | $7.41 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $29.51 Typical High $30.90 | Professional | FX · Film X-ray | $25.12 | $29.51 | $30.90 |
Where Kansas sits
The same service costs 12.9 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· 16th of 51
$48.98
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.