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 $45.71 Median $45.71 Typical High $5,248.07 | Facility | None | $45.71 | $45.71 | $5,248.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $3,548.13 Typical High $3,715.35 | Professional | None (both parts) | $2,238.72 | $3,548.13 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $102.33 | Professional | 26 · Professional part | $83.18 | $97.72 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $3,467.37 Typical High $3,630.78 | Professional | TC · Technical part | $2,238.72 | $3,467.37 | $3,630.78 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $4,073.80 Typical High $7,762.47 | Facility | None | $158.49 | $4,073.80 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $114.82 | $229.09 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $141.25 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $81.28 Typical High $218.78 | Professional | TC · Technical part | $36.31 | $81.28 | $218.78 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $3,548.13 | Facility | None | $147.91 | $173.78 | $3,548.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $3,235.94 Typical High $4,897.79 | Professional | None (both parts) | $144.54 | $3,235.94 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $181.97 Typical High $1,659.59 | Professional | 26 · Professional part | $89.13 | $181.97 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $3,715.35 Typical High $4,786.30 | Professional | TC · Technical part | $50.12 | $3,715.35 | $4,786.30 |
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 $128.82 Median $1,698.24 Typical High $3,162.28 | Professional | None (both parts) | $128.82 | $1,698.24 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $93.33 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $1,621.81 Typical High $3,090.30 | Professional | TC · Technical part | $44.67 | $1,621.81 | $3,090.30 |
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 $1,445.44 Median $1,737.80 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,445.44 | $1,737.80 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $707.95 Typical High $741.31 | Professional | 53 · Discontinued | $575.44 | $707.95 | $741.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,344.23 Median $2,818.38 Typical High $2,951.21 | Professional | FX · Film X-ray | $2,344.23 | $2,818.38 | $2,951.21 |
Where Kansas sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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
$1,698
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.