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 $154.88 Median $154.88 Typical High $281.84 | Facility | None | $154.88 | $154.88 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $229.09 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $190.55 | $234.42 | $234.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $478.63 Median $501.19 Typical High $501.19 | Facility | None | $478.63 | $501.19 | $501.19 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $1,348.96 | Facility | None | $489.78 | $549.54 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $190.55 | $398.11 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $69.18 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $331.13 | $363.08 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $446.68 | Facility | None | $281.84 | $288.40 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $1,698.24 | Professional | None (both parts) | $199.53 | $302.00 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $309.03 | Professional | 26 · Professional part | $39.81 | $52.48 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $1,445.44 | Professional | TC · Technical part | $162.18 | $251.19 | $1,445.44 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $741.31 | Facility | None | $467.74 | $467.74 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $199.53 | $295.12 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $44.67 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $162.18 | $251.19 | $457.09 |
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 $114.82 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $213.80 Typical High $223.87 | Professional | FX · Film X-ray | $181.97 | $213.80 | $223.87 |
Where Kansas sits
The same service costs 5.0 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
$398
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.