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 $11.48 Median $17.38 Typical High $30.90 | Facility | None | $11.48 | $17.38 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $20.89 Typical High $21.88 | Professional | None (both parts) | $17.78 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $11.75 | Professional | 26 · Professional part | $9.33 | $11.22 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $10.00 Typical High $10.96 | Professional | TC · Technical part | $8.13 | $10.00 | $10.96 |
BCBS Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Facility | None | $104.71 | $109.65 | $109.65 |
BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $120.23 Typical High $239.88 | Facility | None | $60.26 | $120.23 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $16.98 | $36.31 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $16.98 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $7.41 | $19.95 | $33.11 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $40.74 | Facility | None | $20.89 | $28.18 | $40.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.50 Median $42.66 Typical High $208.93 | Professional | None (both parts) | $19.50 | $42.66 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $21.38 Typical High $104.71 | Professional | 26 · Professional part | $10.72 | $21.38 | $104.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $30.90 Typical High $128.82 | Professional | TC · Technical part | $8.51 | $30.90 | $128.82 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Facility | None | $102.33 | $102.33 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.38 Typical High $38.02 | Professional | None (both parts) | $19.05 | $21.38 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $10.96 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $9.55 Typical High $19.50 | Professional | TC · Technical part | $8.32 | $9.55 | $19.50 |
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 $8.91 Median $10.47 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $4.17 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | FX · Film X-ray | $14.13 | $16.60 | $17.38 |
Where Kansas sits
The same service costs 3.6 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· 4th of 51
$38.90
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.