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 $100.00 Median $177.83 Typical High $354.81 | Facility | None | $100.00 | $177.83 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $81.28 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $52.48 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $50.12 | Professional | TC · Technical part | $37.15 | $45.71 | $50.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $74.13 | Facility | None | $70.79 | $74.13 | $74.13 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $79.43 | $165.96 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $43.65 | $89.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $83.18 Typical High $234.42 | Professional | TC · Technical part | $35.48 | $83.18 | $234.42 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $141.25 | Facility | None | $100.00 | $125.89 | $141.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $97.72 | $1,288.25 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $50.12 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $43.65 | $794.33 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $93.33 | $100.00 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $53.70 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $51.29 | $81.28 |
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 $40.74 Median $47.86 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $19.05 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $75.86 Typical High $81.28 | Professional | FX · Film X-ray | $64.57 | $75.86 | $81.28 |
Where Kansas sits
The same service costs 4.2 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· 23rd of 51
$110
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.