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 $213.80 Median $213.80 Typical High $524.81 | Facility | None | $213.80 | $213.80 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $30.20 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $251.19 | $302.00 | $302.00 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,737.80 | Facility | None | $660.69 | $724.44 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $269.15 | $467.74 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $57.54 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $407.38 Typical High $501.19 | Professional | TC · Technical part | $257.04 | $407.38 | $501.19 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Facility | None | $354.81 | $407.38 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $2,089.30 | Professional | None (both parts) | $275.42 | $398.11 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $338.84 | Professional | 26 · Professional part | $32.36 | $43.65 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $1,862.09 | Professional | TC · Technical part | $245.47 | $363.08 | $1,862.09 |
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 $263.03 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $263.03 | $354.81 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $36.31 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $223.87 | $323.59 | $588.84 |
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 $138.04 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $257.04 Typical High $275.42 | Professional | FX · Film X-ray | $223.87 | $257.04 | $275.42 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 23rd of 51
$427
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.