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 $109.65 Median $109.65 Typical High $338.84 | Facility | None | $109.65 | $109.65 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $281.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $251.19 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
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 $218.78 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $218.78 | $467.74 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $52.48 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $416.87 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $380.19 Typical High $602.56 | Facility | None | $354.81 | $380.19 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $398.11 Typical High $2,041.74 | Professional | None (both parts) | $181.97 | $398.11 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $263.03 | Professional | 26 · Professional part | $29.51 | $38.90 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $363.08 Typical High $1,862.09 | Professional | TC · Technical part | $138.04 | $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 $169.82 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $169.82 | $354.81 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $28.18 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $128.82 | $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 $263.03 Typical High $275.42 | Professional | FX · Film X-ray | $223.87 | $263.03 | $275.42 |
Where Kansas sits
The same service costs 4.9 times more in Alaska 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· 31st of 51
$355
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.