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 $72.44 Median $181.97 Typical High $354.81 | Facility | None | $72.44 | $181.97 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $151.36 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $95.50 | $109.65 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $67.61 | Professional | TC · Technical part | $56.23 | $64.57 | $67.61 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $141.25 | $234.42 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $147.91 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $97.72 | Professional | TC · Technical part | $53.70 | $89.13 | $97.72 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $257.04 | Facility | None | $158.49 | $229.09 | $257.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $190.55 | $478.63 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $239.88 Typical High $616.60 | Professional | 26 · Professional part | $107.15 | $239.88 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $234.42 Typical High $776.25 | Professional | TC · Technical part | $75.86 | $234.42 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $169.82 | $218.78 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $102.33 | $112.20 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $107.15 | $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 $75.86 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $75.86 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $34.67 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $125.89 Typical High $147.91 | Professional | FX · Film X-ray | $123.03 | $125.89 | $147.91 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 13th of 51
$219
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.