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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,000.00 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $912.01 | $1,096.48 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $1,148.15 | Professional | None (both parts) | $169.82 | $169.82 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $2,041.74 | Facility | None | $724.44 | $831.76 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,548.82 Typical High $1,698.24 | Professional | None (both parts) | $436.52 | $1,548.82 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $173.78 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,348.96 Typical High $1,584.89 | Professional | TC · Technical part | $794.33 | $1,348.96 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,230.27 | Facility | None | $1,071.52 | $1,202.26 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,412.54 Typical High $6,918.31 | Professional | None (both parts) | $707.95 | $1,412.54 | $6,918.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $1,148.15 | Professional | 26 · Professional part | $104.71 | $141.25 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,288.25 Typical High $6,309.57 | Professional | TC · Technical part | $602.56 | $1,288.25 | $6,309.57 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Facility | None | $645.65 | $645.65 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,122.02 Typical High $2,089.30 | Professional | None (both parts) | $346.74 | $1,122.02 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $199.53 | Professional | 26 · Professional part | $100.00 | $123.03 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $1,023.29 Typical High $1,862.09 | Professional | TC · Technical part | $204.17 | $1,023.29 | $1,862.09 |
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 $501.19 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $501.19 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $204.17 | $239.88 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $812.83 Median $912.01 Typical High $977.24 | Professional | FX · Film X-ray | $812.83 | $912.01 | $977.24 |
Where Kansas sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 28th of 51
$1,148
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.