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 $147.91 Median $501.19 Typical High $812.83 | Facility | None | $147.91 | $501.19 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $138.04 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $91.20 | $128.82 | $128.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $478.63 | Facility | None | $457.09 | $457.09 | $478.63 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $239.88 | Facility | None | $107.15 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $120.23 | $251.19 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $81.28 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $199.53 | $199.53 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $2,511.89 | Facility | None | $162.18 | $263.03 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $331.13 Typical High $1,047.13 | Professional | None (both parts) | $151.36 | $331.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $131.83 Typical High $288.40 | Professional | 26 · Professional part | $48.98 | $131.83 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $251.19 Typical High $776.25 | Professional | TC · Technical part | $100.00 | $251.19 | $776.25 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Facility | None | $102.33 | $102.33 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $141.25 | $186.21 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $53.70 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $128.82 | $186.21 |
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 $69.18 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $69.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $27.54 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $114.82 | $158.49 | $158.49 |
Where Kansas sits
The same service costs 4.3 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· 14th of 51
$234
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.