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 $40.74 Median $40.74 Typical High $123.03 | Facility | None | $40.74 | $40.74 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $100.00 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $31.62 | $38.02 | $39.81 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
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 $93.33 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $93.33 | $218.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $57.54 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $234.42 Typical High $263.03 | Professional | TC · Technical part | $72.44 | $234.42 | $263.03 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $275.42 | Facility | None | $125.89 | $158.49 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $229.09 Typical High $1,023.29 | Professional | None (both parts) | $107.15 | $229.09 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $70.79 Typical High $208.93 | Professional | 26 · Professional part | $35.48 | $70.79 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $162.18 Typical High $870.96 | Professional | TC · Technical part | $74.13 | $162.18 | $870.96 |
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 $91.20 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $91.20 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $36.31 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $83.18 | $144.54 |
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 $50.12 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $93.33 | $97.72 |
Where Kansas sits
The same service costs 4.6 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· 17th of 51
$158
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.