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 $138.04 Median $537.03 Typical High $537.03 | Facility | None | $138.04 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $112.20 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $58.88 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $61.66 | $75.86 | $95.50 |
BCBS Kansas Setting Facility Modifier None Typical Low $6,456.54 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,456.54 | $6,760.83 | $6,760.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $15,848.93 | Facility | None | $3,890.45 | $7,244.36 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $288.40 Typical High $812.83 | Professional | None (both parts) | $112.20 | $288.40 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $95.50 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $64.57 | $218.78 | $724.44 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $309.03 Typical High $630.96 | Facility | None | $138.04 | $309.03 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $676.08 Typical High $3,090.30 | Professional | None (both parts) | $131.83 | $676.08 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $112.20 Typical High $630.96 | Professional | 26 · Professional part | $56.23 | $112.20 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $75.86 | $676.08 | $2,818.38 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $10,232.93 | Facility | None | $6,456.54 | $6,456.54 | $10,232.93 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $524.81 | Professional | None (both parts) | $128.82 | $144.54 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $57.54 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $346.74 | Professional | TC · Technical part | $72.44 | $83.18 | $346.74 |
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 $56.23 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $26.30 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $104.71 | $109.65 |
Where Kansas sits
The same service costs 4.9 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· 2nd of 51
$339
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.