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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $114.82 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $43.65 | $43.65 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $70.79 | $72.44 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $1,819.70 | Facility | None | $416.87 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $131.83 | $131.83 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $83.18 | $194.98 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $2,951.21 | Facility | None | $123.03 | $194.98 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $389.05 Typical High $3,090.30 | Professional | None (both parts) | $147.91 | $389.05 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $309.03 Typical High $467.74 | Professional | 26 · Professional part | $52.48 | $309.03 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $630.96 Typical High $2,818.38 | Professional | TC · Technical part | $95.50 | $630.96 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $5,128.61 Typical High $8,128.31 | Facility | None | $1,380.38 | $5,128.61 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $134.90 | $165.96 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $56.23 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $107.15 | $331.13 |
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 $57.54 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $57.54 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $23.44 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | FX · Film X-ray | $91.20 | $91.20 | $104.71 |
Where Oklahoma sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 35th of 51
$195
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.