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 $60.26 Median $194.98 Typical High $354.81 | Facility | None | $60.26 | $194.98 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $194.98 | Professional | None (both parts) | $154.88 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $67.61 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $117.49 | $123.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Facility | None | $125.89 | $125.89 | $131.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $257.04 | Facility | None | $128.82 | $154.88 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $120.23 | $239.88 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $93.33 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $165.96 | $165.96 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $199.53 | Facility | None | $154.88 | $165.96 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $134.90 | $933.25 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $58.88 | $363.08 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $77.62 | $575.44 | $575.44 |
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 $120.23 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $120.23 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $63.10 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $66.07 | $87.10 | $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 $81.28 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $37.15 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $147.91 Typical High $154.88 | Professional | FX · Film X-ray | $125.89 | $147.91 | $154.88 |
Where Kansas sits
The same service costs 4.9 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· 21st of 51
$178
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.