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 $165.96 Median $537.03 Typical High $537.03 | Facility | None | $165.96 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $134.90 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $57.54 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $104.71 | $151.36 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $15,848.93 | Facility | None | $3,890.45 | $7,244.36 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $338.84 Typical High $812.83 | Professional | None (both parts) | $131.83 | $338.84 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $95.50 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $281.84 Typical High $724.44 | Professional | TC · Technical part | $83.18 | $281.84 | $724.44 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $323.59 Typical High $630.96 | Facility | None | $162.18 | $323.59 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $691.83 Typical High $3,090.30 | Professional | None (both parts) | $154.88 | $691.83 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $109.65 Typical High $645.65 | Professional | 26 · Professional part | $54.95 | $109.65 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $97.72 | $676.08 | $2,818.38 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $10,232.93 | Facility | None | $6,456.54 | $6,456.54 | $10,232.93 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $524.81 | Professional | None (both parts) | $151.36 | $169.82 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $56.23 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $354.81 | Professional | TC · Technical part | $95.50 | $107.15 | $354.81 |
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 $67.61 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $26.92 | $31.62 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $125.89 | $131.83 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 8th of 51
$288
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.