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 $147.91 Median $537.03 Typical High $537.03 | Facility | None | $147.91 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $120.23 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $61.66 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $83.18 | Professional | TC · Technical part | $69.18 | $79.43 | $83.18 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $2,754.23 | Facility | None | $691.83 | $831.76 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $346.74 Typical High $812.83 | Professional | None (both parts) | $117.49 | $346.74 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $97.72 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $257.04 Typical High $724.44 | Professional | TC · Technical part | $72.44 | $257.04 | $724.44 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $354.81 Typical High $398.11 | Facility | None | $151.36 | $354.81 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $707.95 Typical High $3,548.13 | Professional | None (both parts) | $144.54 | $707.95 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $114.82 Typical High $616.60 | Professional | 26 · Professional part | $58.88 | $114.82 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $676.08 Typical High $3,019.95 | Professional | TC · Technical part | $83.18 | $676.08 | $3,019.95 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,174.90 | Facility | None | $741.31 | $741.31 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $524.81 | Professional | None (both parts) | $138.04 | $158.49 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $58.88 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $354.81 | Professional | TC · Technical part | $81.28 | $93.33 | $354.81 |
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 $60.26 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $28.18 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | FX · Film X-ray | $95.50 | $112.20 | $117.49 |
Where Kansas sits
The same service costs 4.9 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· 8th of 51
$282
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.