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 TC · Technical part Typical Low $144.54 Median $616.60 Typical High $1,000.00 | Facility | TC · Technical part | $144.54 | $616.60 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $35.48 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
BCBS Setting Facility Modifier None Typical Low $15.49 Median $36.31 Typical High $95.50 | Facility | None | $15.49 | $36.31 | $95.50 |
BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | None (both parts) | $30.90 | $30.90 | $47.86 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $30.90 | $30.90 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $229.09 | Facility | None | $158.49 | $190.55 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $112.20 | $112.20 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $30.90 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $81.28 | $81.28 | $138.04 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $181.97 Typical High $602.56 | Facility | None | $47.86 | $181.97 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $851.14 | Professional | None (both parts) | $134.90 | $204.17 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $275.42 | Professional | 26 · Professional part | $35.48 | $54.95 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $630.96 | Professional | TC · Technical part | $100.00 | $144.54 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $128.82 | $144.54 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $38.90 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $114.82 | Professional | TC · Technical part | $97.72 | $104.71 | $114.82 |
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 $67.61 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $67.61 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $109.65 | $109.65 | $109.65 |
Where Arizona sits
The same service costs 4.5 times more in Alaska than in Maryland. 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.
Arizona· 34th of 51
$138
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.