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 $69.18 Median $154.88 Typical High $218.78 | Facility | None | $69.18 | $154.88 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $177.83 Typical High $181.97 | Facility | TC · Technical part | $107.15 | $177.83 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $125.89 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $50.12 | Professional | 26 · Professional part | $36.31 | $47.86 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $87.10 | $102.33 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
BCBS Setting Facility Modifier None Typical Low $338.84 Median $354.81 Typical High $354.81 | Facility | None | $338.84 | $354.81 | $354.81 |
BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $457.09 | Facility | None | $199.53 | $245.47 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $194.98 | Professional | None (both parts) | $104.71 | $186.21 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $61.66 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $125.89 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $125.89 | $138.04 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $158.49 Typical High $288.40 | Facility | None | $154.88 | $158.49 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $263.03 Typical High $933.25 | Professional | None (both parts) | $120.23 | $263.03 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $91.20 Typical High $269.15 | Professional | 26 · Professional part | $38.02 | $91.20 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $190.55 Typical High $660.69 | Professional | TC · Technical part | $83.18 | $190.55 | $660.69 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $323.59 | Facility | None | $204.17 | $204.17 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $114.82 | $141.25 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $46.77 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $93.33 | $162.18 |
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 $63.10 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $29.51 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $120.23 | $125.89 |
Where Kansas sits
The same service costs 3.9 times more in Alaska 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· 17th of 51
$178
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.