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 $85.11 Median $131.83 Typical High $186.21 | Facility | None | $85.11 | $131.83 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $194.98 | Facility | TC · Technical part | $75.86 | $123.03 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $107.15 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $36.31 | $45.71 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $87.10 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36 | Facility | None | $144.54 | $144.54 | $151.36 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $457.09 | Facility | None | $128.82 | $147.91 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $208.93 Typical High $213.80 | Professional | None (both parts) | $102.33 | $208.93 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $70.79 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $70.79 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $134.90 | $134.90 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $245.47 | Facility | None | $128.82 | $177.83 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $128.82 | $758.58 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $41.69 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $85.11 | $512.86 | $512.86 |
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 $123.03 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $123.03 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $44.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $91.20 | $151.36 |
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 $53.70 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $53.70 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $25.12 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $100.00 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $100.00 | $104.71 |
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· 19th of 51
$151
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.