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 $43.65 Median $43.65 Typical High $91.20 | Facility | None | $43.65 | $43.65 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $74.13 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $30.20 | $36.31 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $44.67 | $51.29 | $53.70 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $42.66 | $79.43 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $23.44 | $43.65 | $87.10 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $57.54 Typical High $169.82 | Facility | None | $53.70 | $57.54 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $891.25 | Professional | None (both parts) | $54.95 | $93.33 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $41.69 Typical High $251.19 | Professional | 26 · Professional part | $20.89 | $41.69 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $57.54 Typical High $724.44 | Professional | TC · Technical part | $38.02 | $57.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $54.95 | $81.28 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $20.42 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $38.02 | $44.67 | $83.18 |
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 $37.15 Median $43.65 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $17.38 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $70.79 Typical High $74.13 | Professional | FX · Film X-ray | $58.88 | $70.79 | $74.13 |
Where Kansas sits
The same service costs 5.9 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· 20th of 51
$91.20
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.