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 $478.63 Median $1,148.15 Typical High $1,819.70 | Facility | None | $478.63 | $1,148.15 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $426.58 | $707.95 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $117.49 | $181.97 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $524.81 Typical High $616.60 | Professional | TC · Technical part | $323.59 | $524.81 | $616.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $630.96 Median $645.65 Typical High $660.69 | Facility | None | $630.96 | $645.65 | $660.69 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $1,288.25 | Facility | None | $309.03 | $371.54 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $331.13 | $707.95 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $147.91 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $602.56 Typical High $676.08 | Professional | TC · Technical part | $251.19 | $602.56 | $676.08 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $3,235.94 | Facility | None | $676.08 | $776.25 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,023.29 Typical High $3,019.95 | Professional | None (both parts) | $407.38 | $1,023.29 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $281.84 Typical High $851.14 | Professional | 26 · Professional part | $91.20 | $281.84 | $851.14 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $912.01 Typical High $2,570.40 | Professional | TC · Technical part | $309.03 | $912.01 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $371.54 | $467.74 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $275.42 | $354.81 | $575.44 |
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 $234.42 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $234.42 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $141.25 Typical High $165.96 | Professional | 53 · Discontinued | $93.33 | $141.25 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $562.34 Typical High $660.69 | Professional | FX · Film X-ray | $371.54 | $562.34 | $660.69 |
Where Kansas sits
The same service costs 5.2 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· 13th of 51
$631
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.