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 $102.33 Median $112.20 Typical High $151.36 | Facility | None | $102.33 | $112.20 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $102.33 | $102.33 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $26.92 | $26.92 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $74.13 | $162.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $25.12 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $338.84 | Facility | None | $117.49 | $223.87 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $524.81 | Professional | None (both parts) | $104.71 | $147.91 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $131.83 | Professional | 26 · Professional part | $26.92 | $38.02 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $398.11 | Professional | TC · Technical part | $77.62 | $107.15 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $478.63 Typical High $724.44 | Facility | None | $234.42 | $478.63 | $724.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $190.55 | $199.53 | $295.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $46.77 | $70.79 |
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 $70.79 Median $104.71 Typical High $263.03 | Professional | None (both parts) | $70.79 | $104.71 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $74.13 | Professional | 26 · Professional part | $18.20 | $28.18 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $190.55 | Professional | TC · Technical part | $48.98 | $75.86 | $190.55 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $81.28 | $81.28 | $81.28 |
Where West Virginia sits
The same service costs 4.1 times more in Minnesota 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· 25th of 51
$126
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.