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 $141.25 | Facility | None | $89.13 | $89.13 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $141.25 | Professional | None (both parts) | $114.82 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $30.20 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $104.71 | $109.65 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $1,819.70 | Facility | None | $398.11 | $512.86 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $85.11 | $181.97 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $44.67 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $144.54 | $144.54 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $263.03 | Facility | None | $128.82 | $128.82 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $245.47 Typical High $870.96 | Professional | None (both parts) | $112.20 | $245.47 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $58.88 Typical High $194.98 | Professional | 26 · Professional part | $28.84 | $58.88 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $190.55 Typical High $691.83 | Professional | TC · Technical part | $85.11 | $190.55 | $691.83 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $645.65 | Facility | None | $407.38 | $407.38 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $102.33 | $128.82 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $30.20 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $75.86 | $100.00 | $165.96 |
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 $57.54 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $26.92 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $107.15 Typical High $112.20 | Professional | FX · Film X-ray | $93.33 | $107.15 | $112.20 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in New York. 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
$151
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.