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 $63.10 Median $63.10 Typical High $288.40 | Facility | None | $63.10 | $63.10 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $229.09 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $28.18 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $269.15 Typical High $281.84 | Professional | TC · Technical part | $223.87 | $269.15 | $281.84 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $912.01 | Facility | None | $269.15 | $323.59 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $69.18 | $134.90 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $52.48 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $46.77 | $83.18 | $83.18 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $281.84 | Facility | None | $97.72 | $123.03 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $489.78 Typical High $562.34 | Professional | None (both parts) | $102.33 | $489.78 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $66.07 Typical High $194.98 | Professional | 26 · Professional part | $31.62 | $66.07 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $69.18 | $436.52 | $524.81 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $446.68 | Facility | None | $281.84 | $281.84 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $87.10 | $263.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $229.09 Typical High $398.11 | Professional | TC · Technical part | $56.23 | $229.09 | $398.11 |
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 $114.82 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $54.95 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $229.09 | Professional | FX · Film X-ray | $190.55 | $218.78 | $229.09 |
Where Kansas sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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
$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.