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 $141.25 Median $144.54 Typical High $537.03 | Facility | None | $141.25 | $144.54 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $117.49 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $60.26 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $67.61 | $77.62 | $81.28 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
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 $120.23 Median $309.03 Typical High $812.83 | Professional | None (both parts) | $120.23 | $309.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $95.50 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $229.09 Typical High $724.44 | Professional | TC · Technical part | $70.79 | $229.09 | $724.44 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $478.63 | Facility | None | $144.54 | $302.00 | $478.63 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $676.08 Typical High $3,090.30 | Professional | None (both parts) | $141.25 | $676.08 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $112.20 Typical High $537.03 | Professional | 26 · Professional part | $57.54 | $112.20 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $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 $134.90 Median $154.88 Typical High $524.81 | Professional | None (both parts) | $134.90 | $154.88 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $58.88 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $338.84 | Professional | TC · Technical part | $79.43 | $91.20 | $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 $58.88 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $23.44 | $27.54 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $109.65 Typical High $114.82 | Professional | FX · Film X-ray | $95.50 | $109.65 | $114.82 |
Where Kansas sits
The same service costs 4.1 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· 7th of 51
$269
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.