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 $177.83 Median $363.08 Typical High $501.19 | Facility | None | $177.83 | $363.08 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $295.12 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $66.07 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $239.88 | $295.12 | $398.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $676.08 | Facility | None | $645.65 | $676.08 | $676.08 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,737.80 | Facility | None | $660.69 | $724.44 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $275.42 | $501.19 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $100.00 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $398.11 | $489.78 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $602.56 | Facility | None | $380.19 | $426.58 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $2,187.76 | Professional | None (both parts) | $275.42 | $426.58 | $2,187.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $346.74 | Professional | 26 · Professional part | $56.23 | $77.62 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $354.81 Typical High $1,819.70 | Professional | TC · Technical part | $204.17 | $354.81 | $1,819.70 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,000.00 | Facility | None | $630.96 | $630.96 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $263.03 | $380.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $63.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $316.23 | $575.44 |
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 $147.91 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $58.88 | $72.44 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $275.42 Typical High $288.40 | Professional | FX · Film X-ray | $234.42 | $275.42 | $288.40 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 14th of 51
$513
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.