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 $1,023.29 Median $1,023.29 Typical High $1,122.02 | Facility | None | $1,023.29 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $933.25 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $77.62 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,000.00 Typical High $1,148.15 | Professional | TC · Technical part | $870.96 | $1,000.00 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,258.93 Typical High $1,621.81 | Professional | None (both parts) | $851.14 | $1,258.93 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $89.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,174.90 Typical High $1,513.56 | Professional | TC · Technical part | $776.25 | $1,174.90 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,089.30 | Facility | None | $933.25 | $1,380.38 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,230.27 Typical High $8,511.38 | Professional | None (both parts) | $1,000.00 | $1,230.27 | $8,511.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $933.25 | Professional | 26 · Professional part | $69.18 | $81.28 | $933.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,148.15 Typical High $7,762.47 | Professional | TC · Technical part | $933.25 | $1,148.15 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,202.26 Typical High $1,995.26 | Professional | None (both parts) | $1,000.00 | $1,202.26 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $66.07 | $74.13 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,122.02 Typical High $1,862.09 | Professional | TC · Technical part | $933.25 | $1,122.02 | $1,862.09 |
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 $467.74 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $467.74 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $213.80 Typical High $223.87 | Professional | 53 · Discontinued | $190.55 | $213.80 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $758.58 Median $851.14 Typical High $891.25 | Professional | FX · Film X-ray | $758.58 | $851.14 | $891.25 |
Where Kansas sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 11th of 51
$1,230
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.