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 $158.49 Median $537.03 Typical High $537.03 | Facility | None | $158.49 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $158.49 | Professional | None (both parts) | $128.82 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $77.62 | Professional | 26 · Professional part | $61.66 | $72.44 | $77.62 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
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 $128.82 Median $331.13 Typical High $851.14 | Professional | None (both parts) | $128.82 | $331.13 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $120.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $229.09 Typical High $724.44 | Professional | TC · Technical part | $69.18 | $229.09 | $724.44 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $389.05 | Facility | None | $158.49 | $316.23 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $691.83 Typical High $4,168.69 | Professional | None (both parts) | $151.36 | $691.83 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $138.04 Typical High $724.44 | Professional | 26 · Professional part | $69.18 | $138.04 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $676.08 Typical High $3,467.37 | Professional | TC · Technical part | $81.28 | $676.08 | $3,467.37 |
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 $147.91 Median $165.96 Typical High $537.03 | Professional | None (both parts) | $147.91 | $165.96 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $70.79 | $123.03 |
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 $64.57 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $30.20 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $120.23 | $125.89 |
Where Kansas sits
The same service costs 4.7 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
$295
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.