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 $251.19 Median $251.19 Typical High $269.15 | Facility | None | $251.19 | $251.19 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $213.80 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | TC · Technical part | $123.03 | $123.03 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 26 · Professional part | $162.18 | $162.18 | $177.83 |
BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $275.42 | $275.42 | $354.81 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $128.82 | $128.82 | $165.96 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $147.91 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $223.87 | Facility | None | $83.18 | $104.71 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $186.21 | $208.93 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $104.71 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $102.33 | $234.42 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $186.21 | $204.17 | $204.17 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $194.98 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $100.00 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $125.89 | $181.97 |
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 $107.15 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $194.98 Typical High $229.09 | Professional | FX · Film X-ray | $141.25 | $194.98 | $229.09 |
Where Arkansas sits
The same service costs 5.4 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.
Arkansas· 24th of 51
$257
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.