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 $26.30 Median $26.30 Typical High $43.65 | Facility | None | $26.30 | $26.30 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | None (both parts) | $35.48 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $10.23 | Professional | 26 · Professional part | $8.32 | $9.77 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $33.11 | Professional | TC · Technical part | $27.54 | $31.62 | $33.11 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $457.09 | Facility | None | $104.71 | $144.54 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $28.84 | $56.23 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $15.14 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $40.74 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $40.74 | $41.69 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $43.65 Typical High $81.28 | Facility | None | $42.66 | $43.65 | $81.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $69.18 Typical High $251.19 | Professional | None (both parts) | $35.48 | $69.18 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $18.62 Typical High $54.95 | Professional | 26 · Professional part | $9.33 | $18.62 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $53.70 Typical High $194.98 | Professional | TC · Technical part | $26.30 | $53.70 | $194.98 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $33.11 | $37.15 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $9.55 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $47.86 | Professional | TC · Technical part | $24.55 | $27.54 | $47.86 |
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 $17.78 Median $20.89 Typical High $21.88 | Professional | 52 · Reduced service | $17.78 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.32 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $8.32 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $33.11 Typical High $34.67 | Professional | FX · Film X-ray | $28.18 | $33.11 | $34.67 |
Where Kansas sits
The same service costs 3.9 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· 22nd of 51
$45.71
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.