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 Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $60.26 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $26.30 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $32.36 | $32.36 | $54.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $28.18 | $45.71 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $223.87 | Facility | None | $112.20 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $416.87 | Professional | None (both parts) | $60.26 | $95.50 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $144.54 | Professional | 26 · Professional part | $29.51 | $41.69 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $57.54 Typical High $190.55 | Professional | TC · Technical part | $31.62 | $57.54 | $190.55 |
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 $50.12 Median $77.62 Typical High $173.78 | Professional | None (both parts) | $50.12 | $77.62 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.20 Typical High $72.44 | Professional | 26 · Professional part | $18.20 | $30.20 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $102.33 | Professional | TC · Technical part | $23.99 | $44.67 | $102.33 |
4 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 Facility Modifier FX · Film X-ray Typical Low $25.70 Median $51.29 Typical High $64.57 | Facility | FX · Film X-ray | $25.70 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | FX · Film X-ray | $47.86 | $47.86 | $47.86 |
Where West Virginia sits
The same service costs 3.8 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· 31st of 51
$81.28
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.