How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $58.88 Median $58.88 Typical High $186.21 | Facility | None | $58.88 | $58.88 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $151.36 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $63.10 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $120.23 | Professional | TC · Technical part | $100.00 | $114.82 | $120.23 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,949.84 | Facility | None | $891.25 | $1,047.13 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $123.03 | $251.19 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $100.00 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $151.36 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $151.36 | $158.49 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $346.74 | Facility | None | $186.21 | $186.21 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $316.23 Typical High $1,096.48 | Professional | None (both parts) | $138.04 | $316.23 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $120.23 Typical High $363.08 | Professional | 26 · Professional part | $60.26 | $120.23 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $199.53 Typical High $741.31 | Professional | TC · Technical part | $74.13 | $199.53 | $741.31 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,445.44 | Facility | None | $912.01 | $912.01 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $131.83 | $165.96 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $61.66 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $104.71 | $177.83 |
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 $75.86 Median $89.13 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $35.48 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $144.54 | $151.36 |
Where Kansas sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 22nd of 51
$195
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.