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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $537.03 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $302.00 | $363.08 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $239.88 | $288.40 | $288.40 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $524.81 | $524.81 | $794.33 |
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 $457.09 Median $794.33 Typical High $870.96 | Professional | None (both parts) | $457.09 | $794.33 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $467.74 Typical High $512.86 | Professional | 26 · Professional part | $288.40 | $467.74 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $204.17 | $316.23 | $380.19 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $794.33 | Facility | None | $602.56 | $645.65 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $724.44 Typical High $3,388.44 | Professional | None (both parts) | $524.81 | $724.44 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $426.58 Typical High $2,344.23 | Professional | 26 · Professional part | $323.59 | $426.58 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $309.03 Typical High $1,862.09 | Professional | TC · Technical part | $194.98 | $309.03 | $1,862.09 |
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 $501.19 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $501.19 | $575.44 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $338.84 Typical High $630.96 | Professional | 26 · Professional part | $309.03 | $338.84 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $239.88 | $436.52 |
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 $269.15 Median $309.03 Typical High $331.13 | Professional | 52 · Reduced service | $269.15 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $123.03 Typical High $131.83 | Professional | 53 · Discontinued | $107.15 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $436.52 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $380.19 | $436.52 | $457.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $501.19 Typical High $524.81 | Professional | FX · Film X-ray | $426.58 | $501.19 | $524.81 |
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· 25th of 51
$661
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.