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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $218.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $141.25 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $630.96 | Facility | None | $251.19 | $380.19 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $1,348.96 | Professional | None (both parts) | $218.78 | $309.03 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $501.19 | Professional | 26 · Professional part | $85.11 | $128.82 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $851.14 | Professional | TC · Technical part | $128.82 | $181.97 | $851.14 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $141.25 | $204.17 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $93.33 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $112.20 | $186.21 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $190.55 | $190.55 | $190.55 |
Where West Virginia 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.
West Virginia· 35th of 51
$240
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.