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 $190.55 Median $190.55 Typical High $239.88 | Facility | None | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $41.69 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $190.55 | $239.88 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $1,737.80 | Facility | None | $630.96 | $724.44 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $389.05 | Professional | None (both parts) | $199.53 | $354.81 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $79.43 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $275.42 | $309.03 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $457.09 | Facility | None | $251.19 | $302.00 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $1,584.89 | Professional | None (both parts) | $229.09 | $302.00 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $467.74 | Professional | 26 · Professional part | $45.71 | $60.26 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $1,148.15 | Professional | TC · Technical part | $181.97 | $229.09 | $1,148.15 |
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 $218.78 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $218.78 | $245.47 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $51.29 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $194.98 | $354.81 |
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 $97.72 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $39.81 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $186.21 Typical High $194.98 | Professional | FX · Film X-ray | $158.49 | $186.21 | $194.98 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$372
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.