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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $81.28 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $26.92 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $54.95 | $56.23 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $316.23 Typical High $645.65 | Facility | None | $74.13 | $316.23 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $91.20 | $91.20 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $30.20 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $61.66 | $61.66 | $102.33 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $275.42 Typical High $954.99 | Facility | None | $87.10 | $275.42 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $1,023.29 | Professional | None (both parts) | $102.33 | $162.18 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $85.11 Typical High $208.93 | Professional | 26 · Professional part | $32.36 | $85.11 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $245.47 Typical High $870.96 | Professional | TC · Technical part | $75.86 | $245.47 | $870.96 |
United Setting Facility Modifier None Typical Low $275.42 Median $1,023.29 Typical High $1,621.81 | Facility | None | $275.42 | $1,023.29 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $97.72 | $114.82 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $33.88 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $81.28 | $112.20 |
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 $40.74 Median $41.69 Typical High $54.95 | Professional | 52 · Reduced service | $40.74 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $21.88 | Professional | 53 · Discontinued | $16.22 | $16.60 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | FX · Film X-ray | $66.07 | $66.07 | $75.86 |
Where Oklahoma sits
The same service costs 4.6 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· 36th of 51
$120
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.