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 $18.20 Median $18.20 Typical High $45.71 | Facility | None | $18.20 | $18.20 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $45.71 | Professional | None (both parts) | $38.02 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $9.55 | Professional | 26 · Professional part | $7.59 | $9.12 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $36.31 | Professional | TC · Technical part | $30.20 | $34.67 | $36.31 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $323.59 Typical High $1,819.70 | Facility | None | $117.49 | $323.59 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $53.70 Typical High $56.23 | Professional | None (both parts) | $28.84 | $53.70 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $15.14 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $23.44 | $38.90 | $45.71 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $87.10 | Facility | None | $43.65 | $45.71 | $87.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $74.13 Typical High $245.47 | Professional | None (both parts) | $30.90 | $74.13 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.85 Typical High $56.23 | Professional | 26 · Professional part | $7.94 | $15.85 | $56.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $60.26 Typical High $194.98 | Professional | TC · Technical part | $22.39 | $60.26 | $194.98 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $446.68 | Facility | None | $281.84 | $281.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $30.20 | $39.81 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $14.45 | Professional | 26 · Professional part | $7.94 | $8.13 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $31.62 | $53.70 |
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 $19.05 Median $21.88 Typical High $22.91 | Professional | 52 · Reduced service | $19.05 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $7.59 | $8.71 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | FX · Film X-ray | $30.20 | $35.48 | $37.15 |
Where Kansas sits
The same service costs 3.6 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· 23rd of 51
$46.77
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.