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 $61.66 Median $125.89 Typical High $173.78 | Facility | None | $61.66 | $125.89 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $102.33 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $35.48 | Professional | 26 · Professional part | $28.84 | $33.88 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $89.13 | Professional | TC · Technical part | $72.44 | $87.10 | $89.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $457.09 | Facility | None | $125.89 | $147.91 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $97.72 | $177.83 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $54.95 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $123.03 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $123.03 | $134.90 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $162.18 | Facility | None | $125.89 | $151.36 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $112.20 | $741.31 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $33.11 | $1,548.82 | $1,548.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $81.28 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $107.15 | $120.23 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $34.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $87.10 | $154.88 |
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 $51.29 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $23.99 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $95.50 | $100.00 |
Where Kansas sits
The same service costs 3.9 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· 17th of 51
$155
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.