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 $56.23 Median $77.62 Typical High $112.20 | Facility | None | $56.23 | $77.62 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $64.57 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $39.81 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $38.90 | $51.29 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $67.61 | $67.61 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $478.63 | Facility | None | $169.82 | $181.97 | $478.63 |
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 $30.90 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $66.07 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $75.86 Typical High $77.62 | Professional | TC · Technical part | $33.11 | $75.86 | $77.62 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $144.54 | Facility | None | $72.44 | $91.20 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $104.71 Typical High $467.74 | Professional | None (both parts) | $70.79 | $104.71 | $467.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $380.19 | Professional | 26 · Professional part | $33.88 | $45.71 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $380.19 | Professional | TC · Technical part | $35.48 | $60.26 | $380.19 |
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 $66.07 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $66.07 | $87.10 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $67.61 | Professional | TC · Technical part | $33.11 | $44.67 | $67.61 |
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 $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $32.36 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $12.88 | $14.79 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $58.88 Typical High $63.10 | Professional | FX · Film X-ray | $51.29 | $58.88 | $63.10 |
Where Kansas sits
The same service costs 4.7 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· 24th of 51
$91.20
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.