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 $52.48 Median $104.71 Typical High $131.83 | Facility | TC · Technical part | $52.48 | $104.71 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | None (both parts) | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $52.48 | $52.48 | $60.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $489.78 | Professional | None (both parts) | $83.18 | $117.49 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $177.83 | Professional | 26 · Professional part | $31.62 | $50.12 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $275.42 | Professional | TC · Technical part | $46.77 | $67.61 | $275.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $186.21 | Professional | None (both parts) | $66.07 | $87.10 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $42.66 | $60.26 | $131.83 |
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 $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $70.79 | $70.79 | $70.79 |
Where West Virginia sits
The same service costs 4.5 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.
West Virginia· 35th of 51
$105
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.