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 $204.17 | Facility | None | $123.03 | $123.03 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $165.96 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $26.92 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $144.54 | $177.83 | $177.83 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $1,348.96 | Facility | None | $489.78 | $549.54 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $154.88 | $263.03 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $39.81 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $223.87 | $288.40 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $380.19 | Facility | None | $208.93 | $234.42 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $1,202.26 | Professional | None (both parts) | $158.49 | $234.42 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $275.42 | Professional | 26 · Professional part | $23.44 | $31.62 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $1,047.13 | Professional | TC · Technical part | $138.04 | $204.17 | $1,047.13 |
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 $158.49 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $158.49 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $25.70 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $181.97 | $331.13 |
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 $83.18 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $40.74 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $154.88 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $154.88 | $162.18 |
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· 26th of 51
$245
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.