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 $112.20 Median $112.20 Typical High $199.53 | Facility | None | $112.20 | $112.20 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $147.91 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $63.10 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $114.82 | Professional | TC · Technical part | $95.50 | $109.65 | $114.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $245.47 Typical High $263.03 | Professional | None (both parts) | $138.04 | $245.47 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $97.72 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $144.54 | $169.82 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $239.88 | Facility | None | $91.20 | $181.97 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $1,023.29 | Professional | None (both parts) | $141.25 | $275.42 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $120.23 Typical High $794.33 | Professional | 26 · Professional part | $60.26 | $120.23 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $186.21 Typical High $831.76 | Professional | TC · Technical part | $81.28 | $186.21 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $141.25 | $165.96 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $61.66 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $102.33 | $151.36 |
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 $74.13 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $34.67 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $138.04 Typical High $144.54 | Professional | FX · Film X-ray | $120.23 | $138.04 | $144.54 |
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· 28th of 51
$195
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.