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 $1,318.26 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,318.26 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,318.26 Typical High $1,445.44 | Professional | None (both parts) | $1,288.25 | $1,318.26 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $81.28 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,318.26 Typical High $1,412.54 | Professional | TC · Technical part | $1,202.26 | $1,318.26 | $1,412.54 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $5,370.32 | Facility | None | $1,659.59 | $2,238.72 | $5,370.32 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $416.87 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $158.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,905.46 Typical High $1,905.46 | Professional | TC · Technical part | $363.08 | $1,905.46 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,230.27 | $1,819.70 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,737.80 Typical High $10,000.00 | Professional | None (both parts) | $1,071.52 | $1,737.80 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $2,691.53 | Professional | 26 · Professional part | $81.28 | $112.20 | $2,691.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,659.59 Typical High $7,244.36 | Professional | TC · Technical part | $1,000.00 | $1,659.59 | $7,244.36 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,630.27 | Facility | None | $1,659.59 | $1,659.59 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,479.11 Typical High $2,884.03 | Professional | None (both parts) | $1,071.52 | $1,479.11 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $87.10 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,380.38 Typical High $2,754.23 | Professional | TC · Technical part | $977.24 | $1,380.38 | $2,754.23 |
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 $645.65 Median $660.69 Typical High $724.44 | Professional | 52 · Reduced service | $645.65 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $263.03 Typical High $288.40 | Professional | 53 · Discontinued | $257.04 | $263.03 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,047.13 Median $1,071.52 Typical High $1,148.15 | Professional | FX · Film X-ray | $1,047.13 | $1,071.52 | $1,148.15 |
Where Kansas sits
The same service costs 15.1 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· 41st of 51
$1,175
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.