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 $251.19 Median $331.13 Typical High $331.13 | Facility | None | $251.19 | $331.13 | $331.13 |
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 $64.57 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $169.82 | $169.82 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
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 $204.17 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $204.17 | $575.44 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $125.89 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $457.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $467.74 | Facility | None | $257.04 | $389.05 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $3,311.31 | Professional | None (both parts) | $257.04 | $407.38 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $1,096.48 | Professional | 26 · Professional part | $70.79 | $97.72 | $1,096.48 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $2,290.87 | Professional | TC · Technical part | $177.83 | $323.59 | $2,290.87 |
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 $234.42 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $234.42 | $323.59 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $229.09 | $380.19 |
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 $40.74 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | FX · Film X-ray | $162.18 | $190.55 | $199.53 |
Where Kansas sits
The same service costs 5.0 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· 12th of 51
$407
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.