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 $173.78 Median $173.78 Typical High $204.17 | Facility | None | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $169.82 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $141.25 | $173.78 | $173.78 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
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 $173.78 Median $346.74 Typical High $363.08 | Professional | None (both parts) | $173.78 | $346.74 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $57.54 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $288.40 | $316.23 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $309.03 Typical High $389.05 | Facility | None | $213.80 | $309.03 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $1,258.93 | Professional | None (both parts) | $208.93 | $275.42 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $234.42 | Professional | 26 · Professional part | $31.62 | $41.69 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $1,071.52 | Professional | TC · Technical part | $177.83 | $223.87 | $1,071.52 |
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 $199.53 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $199.53 | $218.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $186.21 | $338.84 |
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 $33.88 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $40.74 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $158.49 Typical High $165.96 | Professional | FX · Film X-ray | $134.90 | $158.49 | $165.96 |
Where Kansas sits
The same service costs 4.4 times more in Alaska 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· 15th of 51
$302
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.