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 $117.49 Median $151.36 Typical High $151.36 | Facility | None | $117.49 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $22.91 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $77.62 | $93.33 | $93.33 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
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 $87.10 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $87.10 | $239.88 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $38.90 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $204.17 | $204.17 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $218.78 | Facility | None | $114.82 | $158.49 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $912.01 | Professional | None (both parts) | $109.65 | $169.82 | $912.01 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $181.97 | Professional | 26 · Professional part | $21.38 | $28.18 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $794.33 | Professional | TC · Technical part | $89.13 | $144.54 | $794.33 |
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 $102.33 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $102.33 | $134.90 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $21.88 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $83.18 | $112.20 | $177.83 |
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 $47.86 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $89.13 | $93.33 |
Where Kansas sits
The same service costs 5.0 times more in Alabama than in New York. 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· 24th of 51
$155
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.