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 $125.89 Median $165.96 Typical High $165.96 | Facility | None | $125.89 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $22.91 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $79.43 | $95.50 | $95.50 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
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 $93.33 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $93.33 | $275.42 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $50.12 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $100.00 | $223.87 | $223.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $234.42 | Facility | None | $125.89 | $181.97 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $1,023.29 | Professional | None (both parts) | $120.23 | $194.98 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $275.42 | Professional | 26 · Professional part | $28.18 | $36.31 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $870.96 | Professional | TC · Technical part | $91.20 | $162.18 | $870.96 |
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 $112.20 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $112.20 | $151.36 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $114.82 | $199.53 |
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 $51.29 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $95.50 | $100.00 |
Where Kansas sits
The same service costs 4.6 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· 28th of 51
$166
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.