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 $154.88 Median $154.88 Typical High $204.17 | Facility | None | $154.88 | $154.88 | $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 $35.48 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $131.83 | $162.18 | $162.18 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $1,737.80 | Facility | None | $630.96 | $724.44 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $173.78 | $331.13 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $67.61 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $154.88 | $263.03 | $263.03 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $389.05 | Facility | None | $208.93 | $281.84 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $1,318.26 | Professional | None (both parts) | $199.53 | $251.19 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $436.52 | Professional | 26 · Professional part | $38.02 | $52.48 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $977.24 | Professional | TC · Technical part | $158.49 | $194.98 | $977.24 |
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 $190.55 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $190.55 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $41.69 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $165.96 | $295.12 |
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 $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $41.69 | $41.69 |
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 4.7 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· 16th of 51
$282
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.