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 $123.03 Median $123.03 Typical High $186.21 | Facility | None | $123.03 | $123.03 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $134.90 | $162.18 | $162.18 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $147.91 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $147.91 | $257.04 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $20.42 | $37.15 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $138.04 | $218.78 | $269.15 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $446.68 | Facility | None | $194.98 | $218.78 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $1,122.02 | Professional | None (both parts) | $147.91 | $218.78 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $208.93 | Professional | 26 · Professional part | $21.38 | $28.18 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $1,000.00 | Professional | TC · Technical part | $128.82 | $190.55 | $1,000.00 |
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 $147.91 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $147.91 | $194.98 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $23.44 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $128.82 | $169.82 | $309.03 |
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 $77.62 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $144.54 | $151.36 |
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· 26th of 51
$229
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.