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 $64.57 Median $144.54 Typical High $354.81 | Facility | None | $64.57 | $144.54 | $354.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $204.17 Typical High $204.17 | Facility | TC · Technical part | $102.33 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $117.49 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $33.88 | $39.81 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $97.72 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
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 $107.15 Median $120.23 Typical High $239.88 | Facility | None | $107.15 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $213.80 | Professional | None (both parts) | $117.49 | $208.93 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $61.66 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $151.36 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $151.36 | $162.18 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $177.83 | Facility | None | $131.83 | $177.83 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $134.90 | $741.31 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $38.02 | $263.03 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $97.72 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Facility | None | $102.33 | $102.33 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $120.23 | $151.36 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $109.65 | $190.55 |
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 $58.88 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $27.54 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $109.65 Typical High $114.82 | Professional | FX · Film X-ray | $93.33 | $109.65 | $114.82 |
Where Kansas sits
The same service costs 3.7 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· 14th of 51
$182
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.