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 $354.81 Median $446.68 Typical High $812.83 | Facility | None | $354.81 | $446.68 | $812.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $933.25 | Facility | TC · Technical part | $234.42 | $436.52 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $323.59 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $173.78 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $331.13 | Professional | TC · Technical part | $213.80 | $269.15 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 26 · Professional part | $83.18 | $83.18 | $89.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,258.93 | $1,258.93 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $1,071.52 | Facility | None | $218.78 | $245.47 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $758.58 Typical High $1,096.48 | Professional | None (both parts) | $371.54 | $758.58 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $102.33 | $199.53 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $630.96 Typical High $891.25 | Professional | TC · Technical part | $269.15 | $630.96 | $891.25 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $758.58 Typical High $2,754.23 | Facility | None | $380.19 | $758.58 | $2,754.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,023.29 Typical High $4,786.30 | Professional | None (both parts) | $467.74 | $1,023.29 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $316.23 Typical High $1,621.81 | Professional | 26 · Professional part | $120.23 | $316.23 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $851.14 Typical High $3,630.78 | Professional | TC · Technical part | $338.84 | $851.14 | $3,630.78 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $323.59 | Facility | None | $204.17 | $204.17 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $426.58 | $588.84 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $109.65 | $131.83 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $316.23 | $436.52 | $724.44 |
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 $151.36 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $151.36 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $89.13 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | FX · Film X-ray | $281.84 | $354.81 | $354.81 |
Where Kansas sits
The same service costs 6.8 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· 5th of 51
$813
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.