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 $234.42 Median $234.42 Typical High $309.03 | Facility | None | $234.42 | $234.42 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $257.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $302.00 | Professional | TC · Technical part | $218.78 | $269.15 | $302.00 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $4,570.88 | Facility | None | $1,348.96 | $1,862.09 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $457.09 Typical High $512.86 | Professional | None (both parts) | $275.42 | $457.09 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $70.79 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $239.88 | $389.05 | $457.09 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $407.38 Typical High $588.84 | Facility | None | $331.13 | $407.38 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $1,905.46 | Professional | None (both parts) | $281.84 | $371.54 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $407.38 | Professional | 26 · Professional part | $38.90 | $52.48 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $1,659.59 | Professional | TC · Technical part | $245.47 | $323.59 | $1,659.59 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,000.00 | Facility | None | $630.96 | $630.96 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $602.56 | Professional | None (both parts) | $275.42 | $331.13 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $43.65 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $288.40 | $524.81 |
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 $125.89 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $61.66 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $239.88 Typical High $251.19 | Professional | FX · Film X-ray | $204.17 | $239.88 | $251.19 |
Where Kansas sits
The same service costs 3.7 times more in Alaska 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· 19th of 51
$417
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.