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 $74.13 Median $74.13 Typical High $81.28 | Facility | None | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $8.91 | $11.22 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $57.54 | $69.18 | $69.18 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $1,348.96 | Facility | None | $467.74 | $549.54 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $131.83 | Professional | None (both parts) | $60.26 | $128.82 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $10.72 | $19.95 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $107.15 | $114.82 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $151.36 | Facility | None | $79.43 | $107.15 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $457.09 | Professional | None (both parts) | $75.86 | $97.72 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $134.90 | Professional | 26 · Professional part | $10.47 | $13.80 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $398.11 | Professional | TC · Technical part | $64.57 | $85.11 | $398.11 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $741.31 | Facility | None | $467.74 | $467.74 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $70.79 | $81.28 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $19.50 | Professional | 26 · Professional part | $9.77 | $11.22 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $69.18 | $117.49 |
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 $33.11 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $61.66 Typical High $64.57 | Professional | FX · Film X-ray | $52.48 | $61.66 | $64.57 |
Where Kansas sits
The same service costs 7.2 times more in Alabama than in Texas. 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· 22nd of 51
$107
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.