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 $239.88 Median $363.08 Typical High $363.08 | Facility | None | $239.88 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $141.25 | $173.78 | $173.78 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
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 $194.98 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $194.98 | $501.19 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $100.00 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $165.96 | $407.38 | $407.38 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $446.68 | Facility | None | $245.47 | $346.74 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $2,089.30 | Professional | None (both parts) | $239.88 | $354.81 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $851.14 | Professional | 26 · Professional part | $56.23 | $77.62 | $851.14 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $1,548.82 | Professional | TC · Technical part | $177.83 | $288.40 | $1,548.82 |
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 $223.87 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $223.87 | $288.40 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $63.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $223.87 | $354.81 |
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 $97.72 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $181.97 Typical High $190.55 | Professional | FX · Film X-ray | $154.88 | $181.97 | $190.55 |
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· 17th of 51
$339
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.