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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $100.00 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $28.84 | $29.51 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $72.44 | $72.44 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $229.09 | Facility | None | $151.36 | $213.80 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $112.20 | $112.20 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $37.15 | Professional | 26 · Professional part | $31.62 | $32.36 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $81.28 | $81.28 | $93.33 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $208.93 | Facility | None | $91.20 | $158.49 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $851.14 | Professional | None (both parts) | $125.89 | $165.96 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $275.42 | Professional | 26 · Professional part | $33.11 | $52.48 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $630.96 | Professional | TC · Technical part | $91.20 | $138.04 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $123.03 | $144.54 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $31.62 | $37.15 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $107.15 | $131.83 |
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 $50.12 Median $51.29 Typical High $69.18 | Professional | 52 · Reduced service | $50.12 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $20.42 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | FX · Film X-ray | $81.28 | $81.28 | $95.50 |
Where Oklahoma sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 33rd of 51
$141
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.