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 $56.23 Median $56.23 Typical High $213.80 | Facility | None | $56.23 | $56.23 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | None (both parts) | $123.03 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $28.84 | Professional | 26 · Professional part | $20.42 | $26.92 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $100.00 | $123.03 | $123.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Facility | None | $426.58 | $446.68 | $446.68 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $1,819.70 | Facility | None | $389.05 | $501.19 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $186.21 Typical High $190.55 | Professional | None (both parts) | $54.95 | $186.21 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $15.14 | $36.31 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $39.81 | $154.88 | $154.88 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $281.84 | Facility | None | $74.13 | $95.50 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $281.84 Typical High $891.25 | Professional | None (both parts) | $79.43 | $281.84 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $50.12 Typical High $147.91 | Professional | 26 · Professional part | $19.95 | $50.12 | $147.91 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $398.11 Typical High $758.58 | Professional | TC · Technical part | $61.66 | $398.11 | $758.58 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $645.65 | Facility | None | $407.38 | $407.38 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $69.18 | $131.83 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $25.70 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $56.23 | $104.71 | $194.98 |
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 $61.66 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $28.84 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $114.82 Typical High $120.23 | Professional | FX · Film X-ray | $100.00 | $114.82 | $120.23 |
Where Kansas sits
The same service costs 4.1 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· 23rd of 51
$162
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.