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 $190.55 | Facility | None | $66.07 | $66.07 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $109.65 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $72.44 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $58.88 | Professional | TC · Technical part | $48.98 | $56.23 | $58.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $91.20 Median $95.50 Typical High $95.50 | Facility | None | $91.20 | $95.50 | $95.50 |
BCBS Kansas 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 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $107.15 | $173.78 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $95.50 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $77.62 Typical High $87.10 | Professional | TC · Technical part | $47.86 | $77.62 | $87.10 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $251.19 | Facility | None | $112.20 | $173.78 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $346.74 Typical High $741.31 | Professional | None (both parts) | $144.54 | $346.74 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $69.18 | $407.38 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $70.79 | $562.34 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $123.03 | $162.18 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $72.44 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $61.66 | $89.13 | $109.65 |
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 $54.95 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $25.70 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $93.33 Typical High $107.15 | Professional | FX · Film X-ray | $87.10 | $93.33 | $107.15 |
Where Kansas sits
The same service costs 4.5 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· 14th of 51
$162
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.