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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $63.10 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $23.44 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $39.81 | $40.74 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $275.42 | Facility | None | $181.97 | $257.04 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $69.18 | $69.18 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $25.70 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $43.65 | $69.18 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $100.00 Typical High $141.25 | Facility | None | $44.67 | $100.00 | $141.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $851.14 | Professional | None (both parts) | $100.00 | $190.55 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $28.18 | $87.10 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $707.95 | Professional | TC · Technical part | $120.23 | $234.42 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $141.25 | $162.18 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $29.51 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $131.83 | $190.55 |
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 $31.62 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $31.62 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $16.98 | Professional | 53 · Discontinued | $12.59 | $12.88 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | FX · Film X-ray | $50.12 | $50.12 | $56.23 |
Where Oklahoma sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 19th of 51
$155
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.