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 $154.88 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $154.88 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $57.54 | $64.57 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | TC · Technical part | $95.50 | $112.20 | $117.49 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $4,073.80 Typical High $7,762.47 | Facility | None | $1,230.27 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $316.23 Typical High $812.83 | Professional | None (both parts) | $134.90 | $316.23 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $95.50 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $309.03 Typical High $724.44 | Professional | TC · Technical part | $95.50 | $309.03 | $724.44 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $630.96 | Facility | None | $177.83 | $302.00 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $676.08 Typical High $3,090.30 | Professional | None (both parts) | $186.21 | $676.08 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $128.82 Typical High $489.78 | Professional | 26 · Professional part | $61.66 | $128.82 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $117.49 | $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 $177.83 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $177.83 | $194.98 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $66.07 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $128.82 | $338.84 |
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 3.8 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· 4th of 51
$389
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.