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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $89.13 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $33.88 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $56.23 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $524.81 | Facility | None | $346.74 | $489.78 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $60.26 | $60.26 | $70.79 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $141.25 Typical High $204.17 | Facility | None | $79.43 | $141.25 | $204.17 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $288.40 Typical High $1,584.89 | Professional | None (both parts) | $117.49 | $288.40 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $794.33 | Professional | 26 · Professional part | $38.02 | $60.26 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $1,348.96 | Professional | TC · Technical part | $186.21 | $281.84 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $208.93 | $263.03 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $35.48 | $42.66 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $275.42 | Professional | TC · Technical part | $165.96 | $223.87 | $275.42 |
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 $44.67 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $18.20 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $72.44 Typical High $83.18 | Professional | FX · Film X-ray | $70.79 | $72.44 | $83.18 |
Where Oklahoma sits
The same service costs 5.2 times more in North Dakota 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.
Oklahoma· 12th of 51
$240
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.