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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | None (both parts) | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $17.38 | $17.38 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $24.55 | Professional | TC · Technical part | $17.78 | $17.78 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $102.33 | Facility | None | $60.26 | $100.00 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $39.81 | $39.81 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $30.90 | Professional | 26 · Professional part | $19.95 | $19.95 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $19.95 | $40.74 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $93.33 Typical High $295.12 | Facility | None | $37.15 | $93.33 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $77.62 Typical High $501.19 | Professional | None (both parts) | $44.67 | $77.62 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $20.89 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $22.91 | $323.59 | $323.59 |
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 $41.69 Median $51.29 Typical High $79.43 | Professional | None (both parts) | $41.69 | $51.29 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $19.50 | $24.55 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $26.92 | $48.98 |
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 $17.38 Median $17.78 Typical High $22.91 | Professional | 52 · Reduced service | $17.38 | $17.78 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | 53 · Discontinued | $7.08 | $7.08 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | FX · Film X-ray | $28.18 | $28.18 | $34.67 |
Where Oklahoma sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 39th of 51
$58.88
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.