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 $302.00 Median $478.63 Typical High $1,513.56 | Facility | None | $302.00 | $478.63 | $1,513.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $870.96 | Facility | TC · Technical part | $229.09 | $338.84 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $281.84 | $436.52 | $501.19 |
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 $190.55 Median $309.03 Typical High $338.84 | Professional | TC · Technical part | $190.55 | $309.03 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $223.87 | $398.11 | $478.63 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $912.01 | Facility | None | $281.84 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $588.84 Typical High $812.83 | Professional | None (both parts) | $194.98 | $588.84 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $120.23 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $457.09 Typical High $630.96 | Professional | TC · Technical part | $138.04 | $457.09 | $630.96 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $2,570.40 | Facility | None | $346.74 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $794.33 Typical High $2,818.38 | Professional | None (both parts) | $239.88 | $794.33 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $257.04 Typical High $524.81 | Professional | 26 · Professional part | $69.18 | $257.04 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $645.65 Typical High $2,454.71 | Professional | TC · Technical part | $165.96 | $645.65 | $2,454.71 |
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 $218.78 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $218.78 | $323.59 | $588.84 |
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 $154.88 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $154.88 | $208.93 | $489.78 |
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 $141.25 Median $213.80 Typical High $251.19 | Professional | 52 · Reduced service | $141.25 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $100.00 | Professional | 53 · Discontinued | $56.23 | $85.11 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $338.84 Typical High $407.38 | Professional | FX · Film X-ray | $223.87 | $338.84 | $407.38 |
Where Kansas sits
The same service costs 13.5 times more in Vermont 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· 6th of 51
$501
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.