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 $147.91 Median $537.03 Typical High $537.03 | Facility | None | $147.91 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $120.23 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $70.79 | Professional | 26 · Professional part | $56.23 | $67.61 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $74.13 | $77.62 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
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 $123.03 Median $316.23 Typical High $831.76 | Professional | None (both parts) | $123.03 | $316.23 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $107.15 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $223.87 Typical High $724.44 | Professional | TC · Technical part | $69.18 | $223.87 | $724.44 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $645.65 | Facility | None | $151.36 | $309.03 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $676.08 Typical High $3,162.28 | Professional | None (both parts) | $144.54 | $676.08 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $630.96 | Professional | 26 · Professional part | $64.57 | $128.82 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $79.43 | $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 $141.25 Median $158.49 Typical High $537.03 | Professional | None (both parts) | $141.25 | $158.49 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $66.07 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $338.84 | Professional | TC · Technical part | $77.62 | $89.13 | $338.84 |
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 $60.26 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $28.18 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $112.20 Typical High $120.23 | Professional | FX · Film X-ray | $97.72 | $112.20 | $120.23 |
Where Kansas sits
The same service costs 5.4 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
$282
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.