How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.76 Median $14.45 Typical High $21.38 | Facility | None | $6.76 | $14.45 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $21.38 | Professional | None | $16.98 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $10.00 Typical High $10.72 | Professional | 52 · Reduced service | $8.32 | $10.00 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.98 Typical High $4.27 | Professional | 53 · Discontinued | $3.39 | $3.98 | $4.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | None | $79.43 | $79.43 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $134.90 Typical High $138.04 | Professional | None | $16.98 | $134.90 | $138.04 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $120.23 Typical High $120.23 | Facility | None | $18.20 | $120.23 | $120.23 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $95.50 Typical High $645.65 | Professional | None | $15.85 | $95.50 | $645.65 |
United Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $100.00 | Professional | None | $15.85 | $21.38 | $100.00 |
1 more rate 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 FX · Film X-ray Typical Low $13.49 Median $16.22 Typical High $16.98 | Professional | FX · Film X-ray | $13.49 | $16.22 | $16.98 |
Where Kansas sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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
$79.43
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.