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 $933.25 Median $2,884.03 Typical High $4,677.35 | Facility | None | $933.25 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $67.61 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $1,288.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,122.02 | $1,122.02 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $4,570.88 | Facility | None | $1,479.11 | $2,041.74 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $338.84 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $125.89 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $288.40 | $1,698.24 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,905.46 Typical High $1,905.46 | Facility | None | $891.25 | $1,905.46 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,995.26 Typical High $10,000.00 | Professional | None (both parts) | $1,288.25 | $1,995.26 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $3,162.28 | Professional | 26 · Professional part | $64.57 | $91.20 | $3,162.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,819.70 Typical High $7,244.36 | Professional | TC · Technical part | $1,230.27 | $1,819.70 | $7,244.36 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,398.83 | Facility | None | $1,513.56 | $1,513.56 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,412.54 Typical High $2,630.27 | Professional | None (both parts) | $1,230.27 | $1,412.54 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $77.62 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,348.96 Typical High $2,511.89 | Professional | TC · Technical part | $1,148.15 | $1,348.96 | $2,511.89 |
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 $588.84 Median $588.84 Typical High $645.65 | Professional | 52 · Reduced service | $588.84 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $239.88 | $239.88 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | FX · Film X-ray | $954.99 | $1,047.13 | $1,047.13 |
Where Kansas sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 34th of 51
$1,288
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.