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 $199.53 Median $199.53 Typical High $275.42 | Facility | None | $199.53 | $199.53 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $223.87 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $22.91 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $199.53 | $245.47 | $245.47 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $4,570.88 | Facility | None | $1,548.82 | $1,905.46 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $457.09 Typical High $478.63 | Professional | None (both parts) | $234.42 | $457.09 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $51.29 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $398.11 Typical High $436.52 | Professional | TC · Technical part | $234.42 | $398.11 | $436.52 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $398.11 Typical High $512.86 | Facility | None | $288.40 | $398.11 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $1,698.24 | Professional | None (both parts) | $263.03 | $346.74 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $371.54 | Professional | 26 · Professional part | $28.18 | $36.31 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $1,548.82 | Professional | TC · Technical part | $234.42 | $316.23 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,398.83 | Facility | None | $1,513.56 | $1,513.56 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $234.42 | $295.12 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $28.84 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $263.03 | $478.63 |
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 $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $208.93 Typical High $218.78 | Professional | FX · Film X-ray | $177.83 | $208.93 | $218.78 |
Where Kansas sits
The same service costs 4.3 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· 18th of 51
$398
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.