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 $91.20 Typical High $144.54 | Facility | None | $56.23 | $91.20 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $138.04 | Facility | TC · Technical part | $81.28 | $117.49 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $83.18 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $21.38 | Professional | 26 · Professional part | $17.38 | $20.42 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $66.07 | $77.62 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $338.84 Median $354.81 Typical High $363.08 | Facility | None | $338.84 | $354.81 | $363.08 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $912.01 | Facility | None | $269.15 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $131.83 Typical High $138.04 | Professional | None (both parts) | $67.61 | $131.83 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $16.60 | $32.36 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $107.15 | $107.15 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $194.98 | Facility | None | $100.00 | $100.00 | $194.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $173.78 Typical High $630.96 | Professional | None (both parts) | $79.43 | $173.78 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $38.02 Typical High $131.83 | Professional | 26 · Professional part | $19.05 | $38.02 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $138.04 Typical High $524.81 | Professional | TC · Technical part | $58.88 | $138.04 | $524.81 |
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 $74.13 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $74.13 | $91.20 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $33.11 | Professional | 26 · Professional part | $18.20 | $19.95 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $56.23 | $70.79 | $123.03 |
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 $41.69 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $16.60 | $19.50 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $67.61 | $77.62 | $81.28 |
Where Kansas sits
The same service costs 4.0 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
$117
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.