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 $199.53 Median $199.53 Typical High $218.78 | Facility | None | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $104.71 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.37 Typical High $6.61 | Professional | 26 · Professional part | $5.37 | $5.37 | $6.61 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $56.23 | $56.23 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $77.62 | $169.82 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $22.91 | $48.98 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $120.23 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $120.23 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $147.91 | $162.18 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $44.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $117.49 | $204.17 |
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 $52.48 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $52.48 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $20.89 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $107.15 Typical High $177.83 | Professional | FX · Film X-ray | $70.79 | $107.15 | $177.83 |
Where Arkansas sits
The same service costs 4.2 times more in Nebraska 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.
Arkansas· 26th 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.