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 $407.38 Median $562.34 Typical High $812.83 | Facility | None | $407.38 | $562.34 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $562.34 Typical High $724.44 | Professional | None (both parts) | $467.74 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $263.03 Typical High $302.00 | Professional | 26 · Professional part | $223.87 | $263.03 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $389.05 | Professional | TC · Technical part | $245.47 | $295.12 | $389.05 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $338.84 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $4,265.80 | Facility | None | $1,698.24 | $1,862.09 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,659.59 Typical High $1,995.26 | Professional | None (both parts) | $467.74 | $1,659.59 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $380.19 Typical High $389.05 | Professional | 26 · Professional part | $213.80 | $380.19 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,513.56 Typical High $1,621.81 | Professional | TC · Technical part | $263.03 | $1,513.56 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $1,513.56 | Facility | None | $524.81 | $794.33 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,122.02 Typical High $7,413.10 | Professional | None (both parts) | $512.86 | $1,122.02 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $323.59 Typical High $1,698.24 | Professional | 26 · Professional part | $239.88 | $323.59 | $1,698.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $851.14 Typical High $6,165.95 | Professional | TC · Technical part | $269.15 | $851.14 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,570.40 | Facility | None | $1,621.81 | $1,621.81 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $660.69 Typical High $1,513.56 | Professional | None (both parts) | $489.78 | $660.69 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $269.15 Typical High $467.74 | Professional | 26 · Professional part | $229.09 | $269.15 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $354.81 Typical High $1,230.27 | Professional | TC · Technical part | $263.03 | $354.81 | $1,230.27 |
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 $234.42 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $107.15 Typical High $112.20 | Professional | 53 · Discontinued | $93.33 | $107.15 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $426.58 Typical High $446.68 | Professional | FX · Film X-ray | $371.54 | $426.58 | $446.68 |
Where Kansas sits
The same service costs 4.9 times more in Alaska than in Florida. 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· 19th of 51
$741
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.