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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | None (both parts) | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $25.12 | $25.70 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | TC · Technical part | $32.36 | $32.36 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $162.18 Typical High $181.97 | Facility | None | $93.33 | $162.18 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $63.10 | $63.10 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $28.84 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $35.48 | $35.48 | $57.54 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $114.82 Typical High $295.12 | Facility | None | $60.26 | $114.82 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $588.84 | Professional | None (both parts) | $75.86 | $109.65 | $588.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $33.11 | $338.84 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $54.95 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $81.28 | $97.72 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $37.15 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $63.10 | $85.11 |
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 $28.84 Median $28.84 Typical High $36.31 | Professional | 52 · Reduced service | $28.84 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $14.79 | Professional | 53 · Discontinued | $11.48 | $11.48 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $46.77 Typical High $56.23 | Professional | FX · Film X-ray | $45.71 | $46.77 | $56.23 |
Where Oklahoma sits
The same service costs 3.7 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· 29th of 51
$97.72
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.