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 $8.13 Median $61.66 Typical High $354.81 | Facility | None | $8.13 | $61.66 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.92 Median $7.76 Typical High $8.13 | Professional | None (both parts) | $6.92 | $7.76 | $8.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $2.88 Typical High $3.02 | Professional | 26 · Professional part | $2.51 | $2.88 | $3.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.90 Typical High $5.13 | Professional | TC · Technical part | $4.17 | $4.90 | $5.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Facility | None | $125.89 | $125.89 | $131.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $144.54 Typical High $257.04 | Facility | None | $85.11 | $144.54 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.17 Median $15.85 Typical High $43.65 | Professional | None (both parts) | $6.17 | $15.85 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $5.13 Typical High $7.08 | Professional | 26 · Professional part | $2.45 | $5.13 | $7.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $13.18 Typical High $37.15 | Professional | TC · Technical part | $3.89 | $13.18 | $37.15 |
Medica Setting Facility Modifier None Typical Low $7.76 Median $15.14 Typical High $29.51 | Facility | None | $7.76 | $15.14 | $29.51 |
Medica Setting Professional Modifier None (both parts) Typical Low $7.41 Median $47.86 Typical High $741.31 | Professional | None (both parts) | $7.41 | $47.86 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $6.61 Typical High $81.28 | Professional | 26 · Professional part | $2.88 | $6.61 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $44.67 Typical High $741.31 | Professional | TC · Technical part | $4.47 | $44.67 | $741.31 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $8.71 Typical High $33.88 | Professional | None (both parts) | $7.24 | $8.71 | $33.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.02 Typical High $5.25 | Professional | 26 · Professional part | $2.63 | $3.02 | $5.25 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $5.13 Typical High $21.38 | Professional | TC · Technical part | $4.37 | $5.13 | $21.38 |
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 $3.47 Median $3.89 Typical High $4.07 | Professional | 52 · Reduced service | $3.47 | $3.89 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.55 Typical High $1.62 | Professional | 53 · Discontinued | $1.38 | $1.55 | $1.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.50 Median $6.17 Typical High $6.46 | Professional | FX · Film X-ray | $5.50 | $6.17 | $6.46 |
Where Kansas sits
The same service costs 4.2 times more in Kansas 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· 1st of 51
$23.99
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.