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 $67.61 Median $67.61 Typical High $181.97 | Facility | None | $67.61 | $67.61 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $13.18 | $16.22 | $16.22 |
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 Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
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 $117.49 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $117.49 | $257.04 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.12 Typical High $25.70 | Professional | 26 · Professional part | $14.13 | $25.12 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $234.42 Typical High $269.15 | Professional | TC · Technical part | $131.83 | $234.42 | $269.15 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $602.56 | Facility | None | $186.21 | $218.78 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $1,071.52 | Professional | None (both parts) | $107.15 | $208.93 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $141.25 | Professional | 26 · Professional part | $14.45 | $19.50 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $190.55 Typical High $977.24 | Professional | TC · Technical part | $85.11 | $190.55 | $977.24 |
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 $100.00 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $100.00 | $186.21 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.85 Typical High $28.84 | Professional | 26 · Professional part | $14.45 | $15.85 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $169.82 | $302.00 |
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 $74.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $36.31 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $138.04 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $138.04 | $144.54 |
Where Kansas sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 21st 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.