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 $186.21 Median $263.03 Typical High $537.03 | Facility | None | $186.21 | $263.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $151.36 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $102.33 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $79.43 | $134.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,715.35 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,715.35 | $3,890.45 | $3,890.45 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $9,549.93 | Facility | None | $3,548.13 | $4,168.69 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $151.36 | $380.19 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $134.90 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $257.04 Typical High $724.44 | Professional | TC · Technical part | $67.61 | $257.04 | $724.44 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $371.54 Typical High $645.65 | Facility | None | $186.21 | $371.54 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $724.44 Typical High $3,162.28 | Professional | None (both parts) | $177.83 | $724.44 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $194.98 Typical High $676.08 | Professional | 26 · Professional part | $74.13 | $194.98 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $79.43 | $676.08 | $2,818.38 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $5,888.44 | Facility | None | $3,715.35 | $3,715.35 | $5,888.44 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $537.03 | Professional | None (both parts) | $173.78 | $194.98 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $97.72 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $389.05 | Professional | TC · Technical part | $77.62 | $89.13 | $389.05 |
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 $75.86 Median $89.13 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $35.48 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $141.25 Typical High $147.91 | Professional | FX · Film X-ray | $123.03 | $141.25 | $147.91 |
Where Kansas sits
The same service costs 5.1 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· 3rd of 51
$427
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.