How much rates vary
Facilitymedian $126 · 10th to 90th $89 to $138Professionalmedian $105 · 10th to 90th $65 to $537
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $69.18 Median $79.43 Typical High $354.81 | Facility | None | $69.18 | $79.43 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $79.43 | Professional | None (both parts) | $64.57 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $46.77 | $50.12 |
BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Facility | None | $125.89 | $125.89 | $131.83 |
BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $912.01 | Facility | None | $120.23 | $147.91 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $63.10 | $128.82 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $52.48 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $38.02 | $81.28 | $100.00 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $120.23 | Facility | None | $77.62 | $89.13 | $120.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $75.86 | $537.03 | $537.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $29.51 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $45.71 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $70.79 | $79.43 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $30.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $85.11 | Professional | TC · Technical part | $41.69 | $50.12 | $85.11 |
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 $32.36 Median $38.02 Typical High $39.81 | Professional | 52 · Reduced service | $32.36 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $60.26 Typical High $63.10 | Professional | FX · Film X-ray | $51.29 | $60.26 | $63.10 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 9th of 51
$126
AK $214UT $48.98
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.