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 $263.03 Median $263.03 Typical High $3,630.78 | Facility | None | $263.03 | $263.03 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,467.37 Typical High $3,630.78 | Professional | None (both parts) | $2,754.23 | $3,467.37 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $45.71 | Professional | 26 · Professional part | $36.31 | $43.65 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $3,467.37 Typical High $3,630.78 | Professional | TC · Technical part | $2,754.23 | $3,467.37 | $3,630.78 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,073.80 Typical High $7,762.47 | Facility | None | $794.33 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $218.78 | $416.87 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $67.61 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $354.81 | $354.81 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $3,548.13 | Facility | None | $302.00 | $389.05 | $3,548.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $3,090.30 Typical High $4,786.30 | Professional | None (both parts) | $323.59 | $3,090.30 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $83.18 Typical High $457.09 | Professional | 26 · Professional part | $41.69 | $83.18 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $3,715.35 Typical High $4,786.30 | Professional | TC · Technical part | $281.84 | $3,715.35 | $4,786.30 |
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 $275.42 Median $1,659.59 Typical High $3,090.30 | Professional | None (both parts) | $275.42 | $1,659.59 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $42.66 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $1,621.81 Typical High $3,090.30 | Professional | TC · Technical part | $234.42 | $1,621.81 | $3,090.30 |
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 $1,412.54 Median $1,737.80 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,412.54 | $1,737.80 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $691.83 Typical High $724.44 | Professional | 53 · Discontinued | $575.44 | $691.83 | $724.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,290.87 Median $2,818.38 Typical High $2,951.21 | Professional | FX · Film X-ray | $2,290.87 | $2,818.38 | $2,951.21 |
Where Kansas sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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
$1,622
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.