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 $13.80 Median $21.88 Typical High $21.88 | Facility | None | $13.80 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | None (both parts) | $21.88 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | 26 · Professional part | $8.13 | $8.13 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | TC · Technical part | $13.80 | $13.80 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $46.77 | Facility | None | $30.90 | $43.65 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $38.02 | Professional | None (both parts) | $24.55 | $24.55 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $8.91 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | TC · Technical part | $15.49 | $15.49 | $23.99 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $34.67 Typical High $48.98 | Facility | None | $15.49 | $34.67 | $48.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $54.95 Typical High $302.00 | Professional | None (both parts) | $33.88 | $54.95 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $25.12 Typical High $131.83 | Professional | 26 · Professional part | $9.77 | $25.12 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $75.86 Typical High $275.42 | Professional | TC · Technical part | $29.51 | $75.86 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $38.90 | $50.12 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $14.79 | Professional | 26 · Professional part | $8.91 | $10.47 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $28.84 | $39.81 | $56.23 |
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 $10.96 Median $10.96 Typical High $14.45 | Professional | 52 · Reduced service | $10.96 | $10.96 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $5.75 | Professional | 53 · Discontinued | $4.37 | $4.47 | $5.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | FX · Film X-ray | $17.38 | $17.38 | $19.50 |
Where Oklahoma sits
The same service costs 4.7 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· 20th of 51
$45.71
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.