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 $186.21 Median $537.03 Typical High $537.03 | Facility | None | $186.21 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $151.36 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $63.10 | Professional | 26 · Professional part | $52.48 | $60.26 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $120.23 | Professional | TC · Technical part | $100.00 | $114.82 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $4,168.69 Typical High $9,549.93 | Facility | None | $1,230.27 | $4,168.69 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $138.04 | $346.74 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $97.72 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $331.13 Typical High $724.44 | Professional | TC · Technical part | $93.33 | $331.13 | $724.44 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $630.96 | Facility | None | $186.21 | $331.13 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $707.95 Typical High $3,090.30 | Professional | None (both parts) | $165.96 | $707.95 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $112.20 Typical High $616.60 | Professional | 26 · Professional part | $57.54 | $112.20 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $107.15 | $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 $162.18 Median $186.21 Typical High $524.81 | Professional | None (both parts) | $162.18 | $186.21 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $120.23 | $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 $75.86 Median $87.10 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $35.48 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $141.25 Typical High $147.91 | Professional | FX · Film X-ray | $120.23 | $141.25 | $147.91 |
Where Kansas sits
The same service costs 4.0 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· 21st 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.