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 Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $114.82 | $120.23 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $416.87 Typical High $776.25 | Facility | None | $208.93 | $416.87 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $645.65 | Professional | None (both parts) | $117.49 | $199.53 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $56.23 Typical High $134.90 | Professional | 26 · Professional part | $30.20 | $56.23 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $141.25 Typical High $501.19 | Professional | TC · Technical part | $93.33 | $141.25 | $501.19 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $81.28 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $19.50 | $33.88 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $100.00 | $165.96 |
1 more rate 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 Facility Modifier FX · Film X-ray Typical Low $74.13 Median $147.91 Typical High $186.21 | Facility | FX · Film X-ray | $74.13 | $147.91 | $186.21 |
Where West Virginia sits
The same service costs 3.9 times more in Alaska than in New York. 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.
West Virginia· 21st of 51
$151
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.