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 $154.88 Median $537.03 Typical High $537.03 | Facility | None | $154.88 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $58.88 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $75.86 | $93.33 | $93.33 |
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 $1,230.27 Median $4,073.80 Typical High $7,762.47 | Facility | None | $1,230.27 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $323.59 Typical High $812.83 | Professional | None (both parts) | $123.03 | $323.59 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $93.33 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $257.04 Typical High $724.44 | Professional | TC · Technical part | $75.86 | $257.04 | $724.44 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $309.03 Typical High $630.96 | Facility | None | $154.88 | $309.03 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $676.08 Typical High $3,090.30 | Professional | None (both parts) | $147.91 | $676.08 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $112.20 Typical High $537.03 | Professional | 26 · Professional part | $56.23 | $112.20 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $89.13 | $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 $162.18 Typical High $524.81 | Professional | None (both parts) | $141.25 | $162.18 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $57.54 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $346.74 | Professional | TC · Technical part | $87.10 | $100.00 | $346.74 |
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 $63.10 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $29.51 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $117.49 Typical High $123.03 | Professional | FX · Film X-ray | $100.00 | $117.49 | $123.03 |
Where Kansas sits
The same service costs 4.3 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
$275
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.