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 $74.13 Median $131.83 Typical High $131.83 | Facility | None | $74.13 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $74.13 | Professional | None (both parts) | $61.66 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $46.77 | Professional | TC · Technical part | $38.90 | $44.67 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $77.62 | $128.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $43.65 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $177.83 | Professional | TC · Technical part | $51.29 | $81.28 | $177.83 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $218.78 Typical High $223.87 | Facility | None | $61.66 | $218.78 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $363.08 Typical High $891.25 | Professional | None (both parts) | $181.97 | $363.08 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $36.31 | $346.74 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $141.25 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $158.49 | $190.55 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $37.15 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $151.36 | $208.93 |
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 $30.90 Median $35.48 Typical High $37.15 | Professional | 52 · Reduced service | $30.90 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.13 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $14.13 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $51.29 Typical High $60.26 | Professional | FX · Film X-ray | $48.98 | $51.29 | $60.26 |
Where Kansas sits
The same service costs 6.6 times more in Nebraska 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· 9th of 51
$191
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.