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 $93.33 Median $134.90 Typical High $134.90 | Facility | None | $93.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $75.86 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $32.36 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $58.88 | Professional | TC · Technical part | $48.98 | $56.23 | $58.88 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $70.79 | $151.36 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $26.92 | $50.12 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $107.15 | $173.78 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $112.20 Typical High $120.23 | Facility | None | $45.71 | $112.20 | $120.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $257.04 Typical High $851.14 | Professional | None (both parts) | $81.28 | $257.04 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $61.66 Typical High $208.93 | Professional | 26 · Professional part | $31.62 | $61.66 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $223.87 Typical High $707.95 | Professional | TC · Technical part | $48.98 | $223.87 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $79.43 | $151.36 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $31.62 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $91.20 Typical High $165.96 | Professional | TC · Technical part | $47.86 | $91.20 | $165.96 |
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 $38.02 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $15.49 | $17.78 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $70.79 Typical High $74.13 | Professional | FX · Film X-ray | $61.66 | $70.79 | $74.13 |
Where Kansas sits
The same service costs 4.4 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
$155
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.