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 $199.53 Median $537.03 Typical High $537.03 | Facility | None | $199.53 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $162.18 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $69.18 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $104.71 | $120.23 | $125.89 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $9,549.93 | Facility | None | $3,548.13 | $4,168.69 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $151.36 | $389.05 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $112.20 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $338.84 Typical High $724.44 | Professional | TC · Technical part | $97.72 | $338.84 | $724.44 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $380.19 Typical High $645.65 | Facility | None | $194.98 | $380.19 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $724.44 Typical High $3,162.28 | Professional | None (both parts) | $177.83 | $724.44 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $676.08 | Professional | 26 · Professional part | $64.57 | $128.82 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $112.20 | $676.08 | $2,818.38 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $5,888.44 | Facility | None | $3,715.35 | $3,715.35 | $5,888.44 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $537.03 | Professional | None (both parts) | $173.78 | $199.53 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $66.07 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $398.11 | Professional | TC · Technical part | $109.65 | $125.89 | $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 $81.28 Median $95.50 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $38.02 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $151.36 Typical High $158.49 | Professional | FX · Film X-ray | $128.82 | $151.36 | $158.49 |
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· 9th of 51
$347
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.