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 $74.13 Median $114.82 Typical High $158.49 | Facility | None | $74.13 | $114.82 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $177.83 | Facility | TC · Technical part | $69.18 | $109.65 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $93.33 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $28.84 | $35.48 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $77.62 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
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 $79.43 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $79.43 | $177.83 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $52.48 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $123.03 | $123.03 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $331.13 | Facility | None | $117.49 | $154.88 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $107.15 | $660.69 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $32.36 | $218.78 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $457.09 | $457.09 |
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 $102.33 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $102.33 | $109.65 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $34.67 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $79.43 | $134.90 |
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 $46.77 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $21.88 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $74.13 | $87.10 | $91.20 |
Where Kansas sits
The same service costs 4.2 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· 17th of 51
$132
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.