How much rates vary
Facilitymedian $138 · 10th to 90th $62 to $324Professionalmedian $43 · 10th to 90th $30 to $112
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 None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $30.20 | $30.20 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $21.38 | Professional | 26 · Professional part | $15.14 | $15.14 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | TC · Technical part | $75.86 | $75.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $323.59 | Facility | None | $138.04 | $138.04 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $87.10 Typical High $288.40 | Professional | None (both parts) | $42.66 | $87.10 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $33.88 Typical High $102.33 | Professional | 26 · Professional part | $15.14 | $33.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $63.10 Typical High $181.97 | Professional | TC · Technical part | $27.54 | $63.10 | $181.97 |
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 $24.55 Median $30.90 Typical High $31.62 | Professional | 52 · Reduced service | $24.55 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $9.77 | $12.30 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | FX · Film X-ray | $47.86 | $48.98 | $48.98 |