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 $87.10 Median $173.78 Typical High $218.78 | Facility | TC · Technical part | $87.10 | $173.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $34.67 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | TC · Technical part | $87.10 | $87.10 | $89.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $107.15 | $162.18 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $177.83 | Professional | 26 · Professional part | $30.90 | $46.77 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $281.84 | Professional | TC · Technical part | $79.43 | $114.82 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $95.50 | $125.89 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $34.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $89.13 | $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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $97.72 | $97.72 | $97.72 |
Where West Virginia 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.
West Virginia· 38th 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.