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 $112.20 Median $112.20 Typical High $177.83 | Facility | None | $112.20 | $112.20 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $144.54 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $109.65 | $134.90 | $134.90 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $4,570.88 | Facility | None | $630.96 | $724.44 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $295.12 | Professional | None (both parts) | $162.18 | $281.84 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $64.57 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $218.78 | $239.88 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $331.13 | Facility | None | $177.83 | $239.88 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $1,096.48 | Professional | None (both parts) | $162.18 | $208.93 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $316.23 | Professional | 26 · Professional part | $36.31 | $48.98 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $870.96 | Professional | TC · Technical part | $128.82 | $165.96 | $870.96 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,000.00 | Facility | None | $630.96 | $630.96 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $151.36 | $186.21 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $40.74 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $112.20 | $147.91 | $263.03 |
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 $72.44 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $134.90 Typical High $141.25 | Professional | FX · Film X-ray | $114.82 | $134.90 | $141.25 |
Where Kansas sits
The same service costs 4.8 times more in Alabama 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· 20th 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.