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 $151.36 Median $151.36 Typical High $234.42 | Facility | None | $151.36 | $151.36 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $27.54 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $165.96 | $204.17 | $204.17 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
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 $173.78 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $173.78 | $295.12 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $39.81 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $165.96 | $257.04 | $323.59 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $436.52 | Facility | None | $239.88 | $263.03 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $1,348.96 | Professional | None (both parts) | $181.97 | $263.03 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $331.13 | Professional | 26 · Professional part | $23.44 | $31.62 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $1,202.26 | Professional | TC · Technical part | $158.49 | $229.09 | $1,202.26 |
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 $181.97 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $181.97 | $234.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $25.70 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $158.49 | $204.17 | $371.54 |
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 $95.50 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | FX · Film X-ray | $151.36 | $177.83 | $186.21 |
Where Kansas sits
The same service costs 4.8 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· 27th of 51
$275
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.