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 $181.97 Median $181.97 Typical High $251.19 | Facility | None | $181.97 | $181.97 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $204.17 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $173.78 | $213.80 | $213.80 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
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 $204.17 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $204.17 | $346.74 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $56.23 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $56.23 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $177.83 | $288.40 | $346.74 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $302.00 Typical High $446.68 | Facility | None | $263.03 | $302.00 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $1,513.56 | Professional | None (both parts) | $213.80 | $288.40 | $1,513.56 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $251.19 | Professional | 26 · Professional part | $32.36 | $42.66 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $245.47 Typical High $1,288.25 | Professional | TC · Technical part | $181.97 | $245.47 | $1,288.25 |
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 $213.80 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $213.80 | $257.04 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $36.31 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $181.97 | $218.78 | $398.11 |
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 $102.33 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $41.69 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $190.55 Typical High $199.53 | Professional | FX · Film X-ray | $165.96 | $190.55 | $199.53 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 20th of 51
$316
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.