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 $89.13 Median $89.13 Typical High $134.90 | Facility | None | $89.13 | $89.13 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $128.82 | Professional | None (both parts) | $100.00 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $50.12 | Professional | 26 · Professional part | $38.90 | $47.86 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $79.43 | Professional | TC · Technical part | $60.26 | $74.13 | $79.43 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $912.01 | Facility | None | $251.19 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $177.83 Typical High $190.55 | Professional | None (both parts) | $79.43 | $177.83 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $70.79 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $120.23 | $120.23 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $239.88 | Facility | None | $120.23 | $123.03 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $676.08 | Professional | None (both parts) | $104.71 | $208.93 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $87.10 Typical High $281.84 | Professional | 26 · Professional part | $42.66 | $87.10 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $467.74 | Professional | TC · Technical part | $63.10 | $125.89 | $467.74 |
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 $104.71 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $104.71 | $109.65 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $44.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $66.07 | $114.82 |
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 $52.48 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $24.55 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $97.72 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $97.72 | $102.33 |
Where Kansas sits
The same service costs 4.4 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· 20th of 51
$138
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.