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 $112.20 Median $112.20 Typical High $114.82 | Facility | None | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $114.82 | Professional | None (both parts) | $93.33 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $28.84 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $83.18 | Professional | TC · Technical part | $70.79 | $79.43 | $83.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $213.80 | Facility | None | $199.53 | $213.80 | $213.80 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $91.20 | $151.36 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $38.90 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $112.20 | $151.36 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $213.80 | Facility | None | $97.72 | $177.83 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $288.40 Typical High $724.44 | Professional | None (both parts) | $147.91 | $288.40 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $27.54 | $199.53 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $117.49 | $588.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $128.82 | $154.88 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $28.18 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $165.96 | Professional | TC · Technical part | $102.33 | $125.89 | $165.96 |
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 $46.77 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $21.88 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $79.43 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $79.43 | $91.20 |
Where Kansas sits
The same service costs 4.0 times more in Alaska 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· 9th of 51
$170
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.