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 $457.09 Median $489.78 Typical High $489.78 | Facility | None | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $436.52 Typical High $457.09 | Professional | None (both parts) | $380.19 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $41.69 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $389.05 Typical High $416.87 | Professional | TC · Technical part | $346.74 | $389.05 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $741.31 Median $776.25 Typical High $776.25 | Facility | None | $741.31 | $776.25 | $776.25 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $741.31 | Professional | None (both parts) | $371.54 | $562.34 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $52.48 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $338.84 | $512.86 | $676.08 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $851.14 | Facility | None | $389.05 | $676.08 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $588.84 Typical High $3,388.44 | Professional | None (both parts) | $524.81 | $588.84 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $602.56 | Professional | 26 · Professional part | $39.81 | $43.65 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $549.54 Typical High $3,090.30 | Professional | TC · Technical part | $478.63 | $549.54 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $524.81 | $588.84 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $39.81 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $549.54 Typical High $912.01 | Professional | TC · Technical part | $478.63 | $549.54 | $912.01 |
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 $190.55 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $75.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $346.74 Typical High $363.08 | Professional | FX · Film X-ray | $302.00 | $346.74 | $363.08 |
Where Kansas sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 8th of 51
$708
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.