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 $30.90 Median $38.02 Typical High $72.44 | Facility | None | $30.90 | $38.02 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $54.95 | Professional | None (both parts) | $39.81 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $15.85 | Professional | 26 · Professional part | $12.30 | $14.45 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $26.30 | $34.67 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Facility | None | $229.09 | $239.88 | $239.88 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $257.04 | Facility | None | $114.82 | $144.54 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $31.62 | $64.57 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $12.30 | $21.88 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $41.69 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $41.69 | $44.67 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $120.23 | Facility | None | $48.98 | $48.98 | $120.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $83.18 Typical High $288.40 | Professional | None (both parts) | $42.66 | $83.18 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $27.54 Typical High $83.18 | Professional | 26 · Professional part | $13.80 | $27.54 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $56.23 Typical High $208.93 | Professional | TC · Technical part | $27.54 | $56.23 | $208.93 |
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 $39.81 Median $44.67 Typical High $74.13 | Professional | None (both parts) | $39.81 | $44.67 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $14.45 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $30.20 | $51.29 |
2 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 $20.89 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $20.89 | $24.55 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $38.90 Typical High $41.69 | Professional | FX · Film X-ray | $33.88 | $38.90 | $41.69 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 16th of 51
$63.10
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.