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 None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $15.49 | Professional | None (both parts) | $10.72 | $10.72 | $15.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $9.77 | Professional | 26 · Professional part | $7.41 | $7.41 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.31 Typical High $5.50 | Professional | TC · Technical part | $3.31 | $3.31 | $5.50 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.31 Median $8.71 Typical High $15.49 | Professional | None (both parts) | $3.31 | $8.71 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $52.48 | Facility | None | $11.48 | $19.05 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $16.60 Typical High $56.23 | Professional | None (both parts) | $11.22 | $16.60 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $41.69 | Professional | 26 · Professional part | $7.59 | $11.22 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $5.50 Typical High $19.50 | Professional | TC · Technical part | $3.47 | $5.50 | $19.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $97.72 | Facility | None | $89.13 | $89.13 | $97.72 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $8.13 Median $11.75 Typical High $32.36 | Professional | None (both parts) | $8.13 | $11.75 | $32.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.51 Typical High $23.99 | Professional | 26 · Professional part | $5.37 | $8.51 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $2.14 Median $3.39 Typical High $8.71 | Professional | TC · Technical part | $2.14 | $3.39 | $8.71 |
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 $5.37 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | FX · Film X-ray | $8.71 | $8.71 | $8.71 |
Where West Virginia sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 30th of 51
$13.80
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.