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 $109.65 Median $154.88 Typical High $537.03 | Facility | None | $109.65 | $154.88 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $89.13 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $53.70 | Professional | 26 · Professional part | $33.11 | $51.29 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $46.77 | $56.23 | $89.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $281.84 Median $302.00 Typical High $302.00 | Facility | None | $281.84 | $302.00 | $302.00 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $257.04 Typical High $794.33 | Professional | None (both parts) | $69.18 | $257.04 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $14.79 | $69.18 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $181.97 Typical High $724.44 | Professional | TC · Technical part | $53.70 | $181.97 | $724.44 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $229.09 Typical High $295.12 | Facility | None | $107.15 | $229.09 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $602.56 Typical High $2,884.03 | Professional | None (both parts) | $109.65 | $602.56 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $97.72 Typical High $426.58 | Professional | 26 · Professional part | $21.38 | $97.72 | $426.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $58.88 | $676.08 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $489.78 | Professional | None (both parts) | $104.71 | $120.23 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $18.20 | $50.12 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $331.13 | Professional | TC · Technical part | $57.54 | $66.07 | $331.13 |
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 $44.67 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $20.89 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $85.11 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $85.11 | $89.13 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$282
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.