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 $89.13 Median $89.13 Typical High $234.42 | Facility | None | $89.13 | $89.13 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $194.98 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $31.62 | $31.62 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
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 $169.82 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $169.82 | $316.23 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $46.77 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $269.15 | $316.23 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $446.68 | Facility | None | $234.42 | $263.03 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $1,348.96 | Professional | None (both parts) | $147.91 | $257.04 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $269.15 | Professional | 26 · Professional part | $26.30 | $37.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $223.87 Typical High $1,174.90 | Professional | TC · Technical part | $114.82 | $223.87 | $1,174.90 |
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 $147.91 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $147.91 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $107.15 | $199.53 | $363.08 |
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 $97.72 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $181.97 Typical High $190.55 | Professional | FX · Film X-ray | $154.88 | $181.97 | $190.55 |
Where Kansas sits
The same service costs 4.8 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· 24th of 51
$282
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.