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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $213.80 | Professional | TC · Technical part | $147.91 | $181.97 | $213.80 |
BCBS Kansas Setting Facility Modifier None Typical Low $478.63 Median $501.19 Typical High $512.86 | Facility | None | $478.63 | $501.19 | $512.86 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
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 $194.98 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $194.98 | $398.11 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $81.28 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $177.83 | $323.59 | $323.59 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $436.52 | Facility | None | $245.47 | $323.59 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $1,479.11 | Professional | None (both parts) | $239.88 | $309.03 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $501.19 | Professional | 26 · Professional part | $46.77 | $64.57 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $1,230.27 | Professional | TC · Technical part | $190.55 | $245.47 | $1,230.27 |
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 $223.87 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $223.87 | $251.19 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $52.48 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $177.83 | $204.17 | $346.74 |
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 $95.50 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $177.83 Typical High $186.21 | Professional | FX · Film X-ray | $154.88 | $177.83 | $186.21 |
Where Kansas sits
The same service costs 3.5 times more in Wisconsin than in Texas. 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· 11th of 51
$389
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.