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 $257.04 Median $257.04 Typical High $3,630.78 | Facility | None | $257.04 | $257.04 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $3,467.37 Typical High $3,630.78 | Professional | None (both parts) | $2,818.38 | $3,467.37 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $58.88 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $3,467.37 Typical High $3,630.78 | Professional | TC · Technical part | $2,818.38 | $3,467.37 | $3,630.78 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,168.69 Typical High $9,549.93 | Facility | None | $794.33 | $4,168.69 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $223.87 | $467.74 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $97.72 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $407.38 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $407.38 | $524.81 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $3,548.13 | Facility | None | $323.59 | $562.34 | $3,548.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $338.84 | $4,897.79 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $112.20 Typical High $501.19 | Professional | 26 · Professional part | $57.54 | $112.20 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $4,786.30 Typical High $4,786.30 | Professional | TC · Technical part | $281.84 | $4,786.30 | $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 $288.40 Median $2,818.38 Typical High $4,786.30 | Professional | None (both parts) | $288.40 | $2,818.38 | $4,786.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $57.54 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $2,754.23 Typical High $4,677.35 | Professional | TC · Technical part | $234.42 | $2,754.23 | $4,677.35 |
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· 8th of 51
$2,754
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.