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 $61.66 Median $112.20 Typical High $354.81 | Facility | None | $61.66 | $112.20 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $112.20 | Professional | None (both parts) | $91.20 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $28.18 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $74.13 | $77.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Facility | None | $104.71 | $104.71 | $109.65 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
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 $87.10 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $87.10 | $151.36 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $51.29 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $109.65 | Professional | TC · Technical part | $61.66 | $100.00 | $109.65 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $144.54 | Facility | None | $112.20 | $138.04 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $104.71 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $31.62 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $72.44 | $467.74 | $467.74 |
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 $97.72 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $97.72 | $109.65 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $77.62 | $131.83 |
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 $45.71 Median $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $21.38 | $22.39 |
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· 28th of 51
$115
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.