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 $125.89 Median $141.25 Typical High $257.04 | Facility | None | $125.89 | $141.25 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $125.89 | Professional | None (both parts) | $104.71 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $44.67 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $67.61 | $75.86 | $81.28 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $104.71 | $173.78 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $63.10 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $112.20 Typical High $338.84 | Professional | TC · Technical part | $67.61 | $112.20 | $338.84 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $204.17 Typical High $302.00 | Facility | None | $112.20 | $204.17 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $478.63 Typical High $1,584.89 | Professional | None (both parts) | $165.96 | $478.63 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $44.67 | $794.33 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $120.23 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $165.96 | $169.82 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $41.69 | $45.71 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $120.23 | $123.03 | $275.42 |
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 $52.48 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $23.99 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $91.20 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $91.20 | $102.33 |
Where Kansas sits
The same service costs 5.2 times more in North Dakota 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· 11th of 51
$251
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.