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 $67.61 Median $141.25 Typical High $165.96 | Facility | None | $67.61 | $141.25 | $165.96 |
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 $14.45 Median $17.38 Typical High $18.20 | Professional | 26 · Professional part | $14.45 | $17.38 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $91.20 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $389.05 Median $407.38 Typical High $407.38 | Facility | None | $389.05 | $407.38 | $407.38 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
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 $74.13 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $74.13 | $147.91 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $14.45 | $28.18 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $61.66 | $120.23 | $120.23 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $218.78 | Facility | None | $114.82 | $114.82 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $186.21 Typical High $691.83 | Professional | None (both parts) | $89.13 | $186.21 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $33.11 Typical High $151.36 | Professional | 26 · Professional part | $16.60 | $33.11 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $158.49 Typical High $588.84 | Professional | TC · Technical part | $72.44 | $158.49 | $588.84 |
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 $87.10 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $87.10 | $97.72 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $16.22 | $16.98 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $81.28 | $141.25 |
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 $18.62 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $21.88 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $87.10 | $91.20 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in New York. 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· 20th of 51
$129
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.