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 $123.03 Median $123.03 Typical High $218.78 | Facility | None | $123.03 | $123.03 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $158.49 | $190.55 | $190.55 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $4,570.88 | Facility | None | $630.96 | $724.44 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $169.82 | $288.40 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $41.69 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $245.47 | $309.03 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $251.19 Typical High $416.87 | Facility | None | $223.87 | $251.19 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $1,288.25 | Professional | None (both parts) | $169.82 | $245.47 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $213.80 | Professional | 26 · Professional part | $23.44 | $31.62 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $1,148.15 | Professional | TC · Technical part | $144.54 | $213.80 | $1,148.15 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,000.00 | Facility | None | $630.96 | $630.96 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $158.49 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $25.70 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $190.55 | $346.74 |
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 $89.13 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $165.96 Typical High $173.78 | Professional | FX · Film X-ray | $144.54 | $165.96 | $173.78 |
Where Kansas sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
$263
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.