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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $676.08 Typical High $707.95 | Professional | None (both parts) | $602.56 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $81.28 | $95.50 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $524.81 | $616.60 | $616.60 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $724.44 | Professional | None (both parts) | $125.89 | $125.89 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $1,995.26 | Facility | None | $724.44 | $831.76 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $302.00 | $977.24 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $134.90 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $134.90 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $275.42 | $851.14 | $851.14 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $912.01 | Facility | None | $524.81 | $549.54 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $794.33 Typical High $4,168.69 | Professional | None (both parts) | $354.81 | $794.33 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $676.08 | Professional | 26 · Professional part | $91.20 | $123.03 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $691.83 Typical High $3,715.35 | Professional | TC · Technical part | $269.15 | $691.83 | $3,715.35 |
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 $263.03 Median $645.65 Typical High $1,174.90 | Professional | None (both parts) | $263.03 | $645.65 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $95.50 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $549.54 Typical High $1,023.29 | Professional | TC · Technical part | $154.88 | $549.54 | $1,023.29 |
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 $302.00 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $120.23 | $144.54 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $478.63 Median $537.03 Typical High $575.44 | Professional | FX · Film X-ray | $478.63 | $537.03 | $575.44 |
Where Kansas sits
The same service costs 6.0 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· 25th of 51
$708
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.