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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $407.38 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $199.53 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $208.93 | $251.19 | $251.19 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $380.19 | $380.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $794.33 Typical High $1,995.26 | Facility | None | $724.44 | $794.33 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $588.84 Typical High $660.69 | Professional | None (both parts) | $338.84 | $588.84 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $309.03 Typical High $338.84 | Professional | 26 · Professional part | $194.98 | $309.03 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $275.42 Typical High $331.13 | Professional | TC · Technical part | $165.96 | $275.42 | $331.13 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $645.65 | Facility | None | $457.09 | $478.63 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $549.54 Typical High $3,162.28 | Professional | None (both parts) | $371.54 | $549.54 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $281.84 Typical High $1,584.89 | Professional | 26 · Professional part | $208.93 | $281.84 | $1,584.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $1,348.96 | Professional | TC · Technical part | $141.25 | $269.15 | $1,348.96 |
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 $331.13 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $331.13 | $426.58 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $416.87 | Professional | 26 · Professional part | $204.17 | $223.87 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $208.93 | $389.05 |
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 $204.17 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $204.17 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $81.28 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $331.13 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $288.40 | $331.13 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $371.54 Typical High $398.11 | Professional | FX · Film X-ray | $323.59 | $371.54 | $398.11 |
Where Kansas sits
The same service costs 5.6 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· 26th of 51
$501
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.