How much rates vary
Facilitymedian $166 · 10th to 90th $158 to $229Professionalmedian $302 · 10th to 90th $69 to $617
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 $229.09 Median $309.03 Typical High $436.52 | Facility | None | $229.09 | $309.03 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $257.04 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $43.65 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $218.78 | $263.03 | $338.84 |
BCBS Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $165.96 | Facility | None | $158.49 | $165.96 | $165.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $338.84 | Professional | None (both parts) | $69.18 | $69.18 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $489.78 | Facility | None | $169.82 | $190.55 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $213.80 | $363.08 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $57.54 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $309.03 | $407.38 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $309.03 | Facility | None | $239.88 | $239.88 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $371.54 Typical High $2,398.83 | Professional | None (both parts) | $223.87 | $371.54 | $2,398.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $724.44 | Professional | 26 · Professional part | $38.90 | $51.29 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $1,659.59 | Professional | TC · Technical part | $173.78 | $316.23 | $1,659.59 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $251.19 | Facility | None | $158.49 | $158.49 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $199.53 | $288.40 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $41.69 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $162.18 | $251.19 | $467.74 |
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 $128.82 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $128.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $61.66 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $229.09 Typical High $245.47 | Professional | FX · Film X-ray | $204.17 | $229.09 | $245.47 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 43rd of 51
$251
AK $977KY $224
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.