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 $120.23 Median $173.78 Typical High $245.47 | Facility | None | $120.23 | $173.78 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $141.25 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $131.83 | Professional | 26 · Professional part | $104.71 | $128.82 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $37.15 | $43.65 | $63.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $691.83 Median $724.44 Typical High $724.44 | Facility | None | $691.83 | $724.44 | $724.44 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $177.83 | $177.83 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $776.25 Typical High $1,995.26 | Facility | None | $724.44 | $776.25 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $676.08 Typical High $812.83 | Professional | None (both parts) | $138.04 | $676.08 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $102.33 | $173.78 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $602.56 Typical High $645.65 | Professional | TC · Technical part | $33.88 | $602.56 | $645.65 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $295.12 Typical High $630.96 | Facility | None | $162.18 | $295.12 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $436.52 Typical High $3,019.95 | Professional | None (both parts) | $144.54 | $436.52 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $1,047.13 | Professional | 26 · Professional part | $112.20 | $151.36 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $316.23 Typical High $2,511.89 | Professional | TC · Technical part | $26.92 | $316.23 | $2,511.89 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Facility | None | $645.65 | $645.65 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $616.60 | Professional | None (both parts) | $138.04 | $190.55 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $109.65 | $123.03 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $41.69 Typical High $501.19 | Professional | TC · Technical part | $26.92 | $41.69 | $501.19 |
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 $69.18 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $27.54 | $32.36 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $131.83 Typical High $138.04 | Professional | FX · Film X-ray | $109.65 | $131.83 | $138.04 |
Where Kansas sits
The same service costs 5.1 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· 2nd of 51
$437
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.