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 $112.20 Median $154.88 Typical High $218.78 | Facility | None | $112.20 | $154.88 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $112.20 | Professional | None (both parts) | $89.13 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $75.86 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | TC · Technical part | $25.70 | $30.20 | $34.67 |
BCBS Kansas Setting Facility Modifier None Typical Low $309.03 Median $331.13 Typical High $331.13 | Facility | None | $309.03 | $331.13 | $331.13 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $478.63 | Professional | None (both parts) | $79.43 | $128.82 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $323.59 | Professional | TC · Technical part | $20.89 | $33.88 | $323.59 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $302.00 | Facility | None | $107.15 | $169.82 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $190.55 Typical High $1,737.80 | Professional | None (both parts) | $95.50 | $190.55 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $501.19 | Professional | 26 · Professional part | $69.18 | $85.11 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $56.23 Typical High $1,412.54 | Professional | TC · Technical part | $25.70 | $56.23 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $93.33 | $112.20 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $125.89 | Professional | TC · Technical part | $25.12 | $30.20 | $125.89 |
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 $53.70 Typical High $56.23 | Professional | 52 · Reduced service | $44.67 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $21.38 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $85.11 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $85.11 | $89.13 |
Where Kansas sits
The same service costs 5.2 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· 4th of 51
$224
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.