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 TC · Technical part Typical Low $69.18 Median $138.04 Typical High $169.82 | Facility | TC · Technical part | $69.18 | $138.04 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $24.55 | $25.70 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $302.00 | Professional | None (both parts) | $81.28 | $123.03 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $128.82 | Professional | 26 · Professional part | $21.38 | $33.11 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $218.78 | Professional | TC · Technical part | $61.66 | $89.13 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $218.78 | Professional | None (both parts) | $75.86 | $102.33 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $24.55 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $173.78 | Professional | TC · Technical part | $56.23 | $77.62 | $173.78 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $74.13 | $75.86 | $75.86 |
Where West Virginia sits
The same service costs 4.0 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.
West Virginia· 37th of 51
$117
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.