How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $123.03 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $123.03 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $77.62 | $77.62 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $229.09 | Facility | None | $151.36 | $213.80 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $134.90 | $134.90 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $50.12 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $85.11 | $134.90 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $213.80 Typical High $251.19 | Facility | None | $91.20 | $213.80 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $1,023.29 | Professional | None (both parts) | $151.36 | $204.17 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $144.54 Typical High $794.33 | Professional | 26 · Professional part | $54.95 | $144.54 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $831.76 | Professional | TC · Technical part | $97.72 | $199.53 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $141.25 | $169.82 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $57.54 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $109.65 | $151.36 |
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 $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $24.55 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $97.72 | $97.72 | $109.65 |
Where Oklahoma sits
The same service costs 3.9 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.
Oklahoma· 36th of 51
$170
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.