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 $38.02 Median $75.86 Typical High $95.50 | Facility | TC · Technical part | $38.02 | $75.86 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | None (both parts) | $67.61 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $32.36 | Professional | 26 · Professional part | $29.51 | $30.20 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $38.02 | $38.02 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $223.87 | Facility | None | $117.49 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $602.56 | Professional | None (both parts) | $83.18 | $109.65 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $165.96 | Professional | 26 · Professional part | $33.88 | $46.77 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $213.80 | Professional | TC · Technical part | $45.71 | $66.07 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
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 $58.88 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $58.88 | $91.20 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $35.48 Typical High $87.10 | Professional | 26 · Professional part | $21.88 | $35.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $36.31 | $60.26 | $120.23 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $54.95 | $54.95 | $54.95 |
Where West Virginia 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.
West Virginia· 37th of 51
$91.20
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.