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 $91.20 Median $117.49 Typical High $141.25 | Facility | None | $91.20 | $117.49 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $107.15 | $107.15 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $37.15 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $69.18 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $36.31 | $77.62 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $316.23 | Facility | None | $117.49 | $223.87 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $549.54 | Professional | None (both parts) | $112.20 | $162.18 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $190.55 | Professional | 26 · Professional part | $38.90 | $54.95 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $371.54 | Professional | TC · Technical part | $72.44 | $109.65 | $371.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $776.25 | Facility | None | $346.74 | $562.34 | $776.25 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $199.53 | $199.53 | $309.03 |
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 $87.10 Median $125.89 Typical High $331.13 | Professional | None (both parts) | $87.10 | $125.89 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $109.65 | Professional | 26 · Professional part | $26.92 | $41.69 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $218.78 | Professional | TC · Technical part | $52.48 | $85.11 | $218.78 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $85.11 | $85.11 | $85.11 |
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· 27th of 51
$141
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.