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 $44.67 Median $67.61 Typical High $97.72 | Facility | None | $44.67 | $67.61 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $69.18 | Professional | None (both parts) | $56.23 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $28.18 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | TC · Technical part | $32.36 | $38.02 | $40.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $691.83 | Facility | None | $645.65 | $691.83 | $691.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $1,819.70 | Facility | None | $446.68 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $47.86 | $102.33 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $44.67 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $25.70 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $338.84 | Facility | None | $69.18 | $81.28 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $114.82 Typical High $389.05 | Professional | None (both parts) | $60.26 | $114.82 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $52.48 Typical High $154.88 | Professional | 26 · Professional part | $26.92 | $52.48 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $64.57 Typical High $234.42 | Professional | TC · Technical part | $33.11 | $64.57 | $234.42 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Facility | None | $645.65 | $645.65 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $64.57 Typical High $102.33 | Professional | None (both parts) | $58.88 | $64.57 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $27.54 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $32.36 | $35.48 | $57.54 |
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 $28.18 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $28.18 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $13.18 Typical High $13.80 | Professional | 53 · Discontinued | $11.22 | $13.18 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $52.48 Typical High $54.95 | Professional | FX · Film X-ray | $44.67 | $52.48 | $54.95 |
Where Kansas sits
The same service costs 3.8 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· 11th of 51
$95.50
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.