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 $79.43 Median $79.43 Typical High $281.84 | Facility | None | $79.43 | $79.43 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $22.39 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $165.96 | $165.96 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $138.04 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $138.04 | $275.42 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $41.69 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $123.03 | $234.42 | $281.84 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $363.08 | Facility | None | $208.93 | $208.93 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $1,288.25 | Professional | None (both parts) | $128.82 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $380.19 | Professional | 26 · Professional part | $24.55 | $30.90 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $1,122.02 | Professional | TC · Technical part | $100.00 | $194.98 | $1,122.02 |
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 $117.49 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $117.49 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $27.54 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $181.97 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $181.97 | $323.59 |
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 $79.43 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $79.43 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $31.62 | $38.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $151.36 Typical High $154.88 | Professional | FX · Film X-ray | $125.89 | $151.36 | $154.88 |
Where Kansas sits
The same service costs 5.5 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· 22nd of 51
$240
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.