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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $97.72 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $72.44 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $38.02 | $45.71 | $45.71 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
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 $95.50 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $95.50 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $138.04 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $93.33 Typical High $281.84 | Professional | TC · Technical part | $38.02 | $93.33 | $281.84 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $338.84 Typical High $338.84 | Facility | None | $123.03 | $338.84 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $1,202.26 | Professional | None (both parts) | $194.98 | $363.08 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $112.20 Typical High $1,202.26 | Professional | 26 · Professional part | $72.44 | $112.20 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $630.96 | Professional | TC · Technical part | $144.54 | $245.47 | $630.96 |
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 $125.89 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $125.89 | $288.40 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $79.43 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $50.12 | $218.78 | $389.05 |
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 $48.98 Median $58.88 Typical High $61.66 | Professional | 52 · Reduced service | $48.98 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $93.33 | $97.72 |
Where Kansas sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 6th 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.