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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $91.20 | $95.50 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $27.54 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $109.65 | Professional | TC · Technical part | $66.07 | $69.18 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
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 $81.28 Median $120.23 Typical High $467.74 | Professional | None (both parts) | $81.28 | $120.23 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $213.80 | Professional | 26 · Professional part | $22.91 | $35.48 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $331.13 | Professional | TC · Technical part | $58.88 | $85.11 | $331.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,548.82 | Facility | None | $933.25 | $1,202.26 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $114.82 | $165.96 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $87.10 | $125.89 | $223.87 |
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 $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $74.13 | $77.62 | $77.62 |
Where West Virginia 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.
West Virginia· 49th of 51
$135
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.