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 $158.49 Median $158.49 Typical High $223.87 | Facility | None | $158.49 | $158.49 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $158.49 | Professional | None (both parts) | $131.83 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $45.71 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $114.82 | Professional | TC · Technical part | $91.20 | $109.65 | $114.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $77.62 | $77.62 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $478.63 | Facility | None | $169.82 | $190.55 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $66.07 | $194.98 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $69.18 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $125.89 Typical High $141.25 | Professional | TC · Technical part | $13.18 | $125.89 | $141.25 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $194.98 | Facility | None | $85.11 | $85.11 | $194.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $891.25 | Professional | None (both parts) | $104.71 | $162.18 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $416.87 | Professional | 26 · Professional part | $42.66 | $57.54 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $104.71 Typical High $645.65 | Professional | TC · Technical part | $54.95 | $104.71 | $645.65 |
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 $104.71 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $104.71 | $125.89 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $50.12 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $54.95 | $85.11 | $154.88 |
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 $66.07 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $66.07 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $30.20 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $125.89 | Professional | FX · Film X-ray | $104.71 | $120.23 | $125.89 |
Where Kansas sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 23rd of 51
$155
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.