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 $47.86 Median $323.59 Typical High $323.59 | Facility | None | $47.86 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $38.90 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $21.38 | $26.92 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $17.38 | $21.38 | $21.38 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $37.15 | $446.68 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $41.69 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $19.95 | $407.38 | $407.38 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $123.03 Typical High $162.18 | Facility | None | $46.77 | $123.03 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $169.82 Typical High $1,698.24 | Professional | None (both parts) | $46.77 | $169.82 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $218.78 | Professional | 26 · Professional part | $23.44 | $32.36 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $144.54 Typical High $1,548.82 | Professional | TC · Technical part | $19.95 | $144.54 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $316.23 | Professional | None (both parts) | $42.66 | $58.88 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $26.30 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $288.40 | Professional | TC · Technical part | $18.62 | $25.12 | $288.40 |
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 $19.50 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $19.50 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $7.76 | $9.55 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $36.31 Typical High $38.90 | Professional | FX · Film X-ray | $30.90 | $36.31 | $38.90 |
Where Kansas sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 4th of 51
$112
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.