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 $109.65 Median $109.65 Typical High $295.12 | Facility | None | $109.65 | $109.65 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $295.12 | Professional | None (both parts) | $239.88 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $95.50 | $112.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $177.83 | Professional | TC · Technical part | $147.91 | $169.82 | $177.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $288.40 | Facility | None | $120.23 | $138.04 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $316.23 Typical High $389.05 | Professional | None (both parts) | $186.21 | $316.23 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $144.54 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $144.54 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $177.83 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $177.83 | $218.78 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $1,174.90 | Facility | None | $239.88 | $269.15 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $489.78 Typical High $1,698.24 | Professional | None (both parts) | $234.42 | $489.78 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $104.71 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $128.82 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $323.59 | Facility | None | $204.17 | $204.17 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $208.93 | $251.19 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $107.15 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $186.21 | Professional | TC · Technical part | $107.15 | $144.54 | $186.21 |
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 $120.23 Median $141.25 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $56.23 | $60.26 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $199.53 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $199.53 | $239.88 |
Where Kansas sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$295
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.