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 $131.83 Median $194.98 Typical High $537.03 | Facility | None | $131.83 | $194.98 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $112.20 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $57.54 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $77.62 | $104.71 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $9,549.93 | Facility | None | $3,548.13 | $4,168.69 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $295.12 Typical High $812.83 | Professional | None (both parts) | $114.82 | $295.12 | $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 $67.61 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $67.61 | $218.78 | $724.44 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $302.00 Typical High $478.63 | Facility | None | $138.04 | $302.00 | $478.63 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $660.69 Typical High $3,311.31 | Professional | None (both parts) | $134.90 | $660.69 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $109.65 Typical High $575.44 | Professional | 26 · Professional part | $54.95 | $109.65 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $77.62 | $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 $128.82 Median $147.91 Typical High $524.81 | Professional | None (both parts) | $128.82 | $147.91 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $338.84 | Professional | TC · Technical part | $74.13 | $85.11 | $338.84 |
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 $56.23 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $26.30 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $104.71 Typical High $109.65 | Professional | FX · Film X-ray | $89.13 | $104.71 | $109.65 |
Where Kansas sits
The same service costs 4.9 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
$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.