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 $66.07 Median $66.07 Typical High $107.15 | Facility | None | $66.07 | $66.07 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $89.13 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $38.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $54.95 | $66.07 | $66.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $123.03 | Facility | None | $117.49 | $123.03 | $123.03 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $75.86 | $112.20 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $41.69 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $69.18 | $95.50 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $131.83 Typical High $194.98 | Facility | None | $91.20 | $131.83 | $194.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $954.99 | Professional | None (both parts) | $97.72 | $117.49 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $234.42 | Professional | 26 · Professional part | $33.88 | $41.69 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $758.58 | Professional | TC · Technical part | $64.57 | $79.43 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $97.72 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $64.57 | $79.43 | $141.25 |
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 $44.67 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $44.67 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $17.78 | $20.42 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $81.28 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $81.28 | $85.11 |
Where Kansas sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 20th of 51
$123
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.