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 $91.20 Median $93.33 Typical High $93.33 | Facility | None | $91.20 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $74.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $25.12 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $48.98 | $58.88 | $58.88 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $134.90 Typical High $141.25 | Professional | None (both parts) | $67.61 | $134.90 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $50.12 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $93.33 | Professional | TC · Technical part | $52.48 | $85.11 | $93.33 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $123.03 | Facility | None | $87.10 | $112.20 | $123.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $512.86 | Professional | None (both parts) | $83.18 | $109.65 | $512.86 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $169.82 | Professional | 26 · Professional part | $27.54 | $37.15 | $169.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $338.84 | Professional | TC · Technical part | $56.23 | $72.44 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $81.28 | $89.13 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $30.20 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $58.88 | $104.71 |
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 $37.15 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $18.20 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $69.18 Typical High $72.44 | Professional | FX · Film X-ray | $58.88 | $69.18 | $72.44 |
Where Kansas sits
The same service costs 4.6 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
$102
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.