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 $20.89 Median $41.69 Typical High $52.48 | Facility | TC · Technical part | $20.89 | $41.69 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | None (both parts) | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | TC · Technical part | $20.89 | $20.89 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $223.87 | Facility | None | $77.62 | $97.72 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $436.52 | Professional | None (both parts) | $43.65 | $79.43 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $138.04 | Professional | 26 · Professional part | $21.38 | $33.11 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $47.86 Typical High $128.82 | Professional | TC · Technical part | $22.39 | $47.86 | $128.82 |
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 $38.02 Median $70.79 Typical High $165.96 | Professional | None (both parts) | $38.02 | $70.79 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $26.30 Typical High $72.44 | Professional | 26 · Professional part | $16.22 | $26.30 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $39.81 Typical High $93.33 | Professional | TC · Technical part | $19.95 | $39.81 | $93.33 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $33.88 | $33.88 | $33.88 |
Where West Virginia 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.
West Virginia· 36th of 51
$61.66
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.