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 Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $100.00 | Professional | None (both parts) | $43.65 | $43.65 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $28.84 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $45.71 | Professional | TC · Technical part | $15.14 | $15.14 | $45.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $15.49 | $33.11 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $79.43 Typical High $223.87 | Facility | None | $56.23 | $79.43 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $100.00 Typical High $537.03 | Professional | None (both parts) | $48.98 | $100.00 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $54.95 Typical High $165.96 | Professional | 26 · Professional part | $29.51 | $54.95 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $38.02 Typical High $138.04 | Professional | TC · Technical part | $19.05 | $38.02 | $138.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $1,047.13 | Facility | None | $467.74 | $478.63 | $1,047.13 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $52.48 | $93.33 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $229.09 | Professional | None (both parts) | $44.67 | $89.13 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $125.89 | Professional | 26 · Professional part | $27.54 | $41.69 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $39.81 Typical High $100.00 | Professional | TC · Technical part | $16.98 | $39.81 | $100.00 |
4 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 Facility Modifier 52 · Reduced service Typical Low $7.59 Median $15.14 Typical High $19.05 | Facility | 52 · Reduced service | $7.59 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $35.48 | $35.48 | $35.48 |
Where West Virginia sits
The same service costs 3.8 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· 41st of 51
$60.26
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.