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 $144.54 Median $144.54 Typical High $257.04 | Facility | None | $144.54 | $144.54 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $208.93 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $28.84 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $257.04 | Professional | TC · Technical part | $181.97 | $223.87 | $257.04 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
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 $165.96 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $165.96 | $363.08 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $54.95 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $309.03 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $309.03 | $338.84 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $446.68 | Facility | None | $234.42 | $234.42 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $1,548.82 | Professional | None (both parts) | $173.78 | $275.42 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $257.04 | Professional | 26 · Professional part | $30.90 | $42.66 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $1,348.96 | Professional | TC · Technical part | $138.04 | $239.88 | $1,348.96 |
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 $169.82 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $169.82 | $275.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $34.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $239.88 | $436.52 |
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 $104.71 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $104.71 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $51.29 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $194.98 Typical High $204.17 | Professional | FX · Film X-ray | $169.82 | $194.98 | $204.17 |
Where Kansas sits
The same service costs 5.2 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· 23rd of 51
$295
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.