How much rates vary
Facilitymedian $468 · 10th to 90th $355 to $832Professionalmedian $468 · 10th to 90th $380 to $1,072
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $389.05 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $257.04 | $316.23 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $125.89 | $151.36 | $151.36 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $446.68 | $446.68 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $380.19 Typical High $831.76 | Facility | None | $331.13 | $380.19 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $575.44 Typical High $630.96 | Professional | None (both parts) | $346.74 | $575.44 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $407.38 Typical High $446.68 | Professional | 26 · Professional part | $251.19 | $407.38 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $169.82 | $194.98 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $489.78 | Facility | None | $426.58 | $467.74 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $2,511.89 | Professional | None (both parts) | $371.54 | $524.81 | $2,511.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $371.54 Typical High $2,137.96 | Professional | 26 · Professional part | $275.42 | $371.54 | $2,137.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $158.49 Typical High $1,698.24 | Professional | TC · Technical part | $85.11 | $158.49 | $1,698.24 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $707.95 | Facility | None | $457.09 | $457.09 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $776.25 | Professional | None (both parts) | $346.74 | $407.38 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $295.12 Typical High $537.03 | Professional | 26 · Professional part | $269.15 | $295.12 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $67.61 | $125.89 | $229.09 |
4 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 $190.55 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $93.33 | Professional | 53 · Discontinued | $77.62 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $309.03 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $269.15 | $309.03 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $354.81 Typical High $371.54 | Professional | FX · Film X-ray | $309.03 | $354.81 | $371.54 |
Where Kansas sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 26th of 51
$468
AK $1,585AL $269
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.