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 $112.20 Median $112.20 Typical High $154.88 | Facility | None | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $154.88 | Professional | None (both parts) | $123.03 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $95.50 | Professional | 26 · Professional part | $75.86 | $91.20 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $48.98 | $58.88 | $58.88 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $870.96 | Facility | None | $263.03 | $331.13 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $117.49 | $288.40 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $165.96 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $43.65 | $144.54 | $151.36 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $251.19 | Facility | None | $154.88 | $223.87 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $1,174.90 | Professional | None (both parts) | $144.54 | $234.42 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $131.83 Typical High $912.01 | Professional | 26 · Professional part | $89.13 | $131.83 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $100.00 Typical High $912.01 | Professional | TC · Technical part | $54.95 | $100.00 | $912.01 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $436.52 | Facility | None | $275.42 | $275.42 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $138.04 | $169.82 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $70.79 | $117.49 |
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 $61.66 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $61.66 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $29.51 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $117.49 Typical High $123.03 | Professional | FX · Film X-ray | $100.00 | $117.49 | $123.03 |
Where Kansas sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 13th of 51
$224
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.