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 $34.67 Median $34.67 Typical High $93.33 | Facility | None | $34.67 | $34.67 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $93.33 | Professional | None (both parts) | $75.86 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $25.70 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $63.10 | $66.07 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $457.09 | Facility | None | $125.89 | $147.91 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $70.79 | $144.54 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $38.90 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $107.15 | $107.15 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $120.23 | Facility | None | $93.33 | $117.49 | $120.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $173.78 Typical High $758.58 | Professional | None (both parts) | $74.13 | $173.78 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $47.86 Typical High $1,047.13 | Professional | 26 · Professional part | $23.99 | $47.86 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $131.83 Typical High $1,047.13 | Professional | TC · Technical part | $52.48 | $131.83 | $1,047.13 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $69.18 | $93.33 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $24.55 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $67.61 | $120.23 |
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 $38.02 Median $43.65 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $15.14 | $17.78 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $70.79 Typical High $74.13 | Professional | FX · Film X-ray | $60.26 | $70.79 | $74.13 |
Where Kansas sits
The same service costs 3.8 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· 26th of 51
$102
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.