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 $75.86 Median $75.86 Typical High $109.65 | Facility | None | $75.86 | $75.86 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $15.85 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $74.13 | $91.20 | $91.20 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $1,348.96 | Facility | None | $467.74 | $549.54 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $85.11 | $147.91 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $16.98 | $32.36 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $114.82 | $158.49 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Facility | None | $125.89 | $125.89 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $1,122.02 | Professional | None (both parts) | $95.50 | $128.82 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $338.84 | Professional | 26 · Professional part | $17.38 | $23.99 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $794.33 | Professional | TC · Technical part | $74.13 | $107.15 | $794.33 |
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 $91.20 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $91.20 | $114.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $19.50 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $95.50 | $173.78 |
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 $44.67 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $87.10 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $87.10 | $89.13 |
Where Kansas sits
The same service costs 5.5 times more in Alabama than in Florida. 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· 24th of 51
$135
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.