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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.90 Typical High $32.36 | Professional | None (both parts) | $26.92 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $12.02 | Professional | 26 · Professional part | $9.55 | $11.48 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.50 Typical High $20.42 | Professional | TC · Technical part | $17.38 | $19.50 | $20.42 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $50.12 Typical High $74.13 | Professional | None (both parts) | $24.55 | $50.12 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $16.98 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $16.60 | $33.88 | $57.54 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $69.18 Typical High $69.18 | Facility | None | $15.85 | $69.18 | $69.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $104.71 Typical High $302.00 | Professional | None (both parts) | $52.48 | $104.71 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $21.88 Typical High $131.83 | Professional | 26 · Professional part | $10.72 | $21.88 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $83.18 Typical High $275.42 | Professional | TC · Technical part | $42.66 | $83.18 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $41.69 | $56.23 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.48 Typical High $18.62 | Professional | 26 · Professional part | $10.47 | $11.48 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $32.36 | $45.71 | $77.62 |
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 $13.49 Median $15.49 Typical High $16.22 | Professional | 52 · Reduced service | $13.49 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.17 Typical High $6.46 | Professional | 53 · Discontinued | $5.37 | $6.17 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $25.70 | Professional | FX · Film X-ray | $21.38 | $24.55 | $25.70 |
Where Kansas sits
The same service costs 4.7 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· 10th of 51
$60.26
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.