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 $89.13 Median $89.13 Typical High $295.12 | Facility | None | $89.13 | $89.13 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $323.59 | Professional | None (both parts) | $239.88 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $91.20 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $223.87 | Professional | TC · Technical part | $162.18 | $199.53 | $223.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $645.65 Typical High $691.83 | Facility | None | $457.09 | $645.65 | $691.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $1,819.70 | Facility | None | $616.60 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $208.93 | $389.05 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $141.25 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $251.19 | $263.03 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $549.54 | Facility | None | $275.42 | $275.42 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $223.87 | $1,698.24 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $83.18 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $131.83 | $1,202.26 | $1,202.26 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Facility | None | $645.65 | $645.65 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $190.55 | $288.40 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $89.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $199.53 | $338.84 |
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 $120.23 Median $141.25 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $56.23 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $223.87 Typical High $234.42 | Professional | FX · Film X-ray | $190.55 | $223.87 | $234.42 |
Where Kansas sits
The same service costs 5.0 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· 15th of 51
$355
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.