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 $223.87 Median $223.87 Typical High $234.42 | Facility | None | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $147.91 | $181.97 | $181.97 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
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 $194.98 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $194.98 | $398.11 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $77.62 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $173.78 | $316.23 | $316.23 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $436.52 | Facility | None | $229.09 | $323.59 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $1,380.38 | Professional | None (both parts) | $239.88 | $302.00 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $346.74 | Professional | 26 · Professional part | $43.65 | $61.66 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $1,174.90 | Professional | TC · Technical part | $190.55 | $239.88 | $1,174.90 |
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 $218.78 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $218.78 | $245.47 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $173.78 | $204.17 | $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 $95.50 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | FX · Film X-ray | $151.36 | $177.83 | $186.21 |
Where Kansas sits
The same service costs 4.6 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· 20th of 51
$324
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.