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 $53.70 Median $58.88 Typical High $154.88 | Facility | None | $53.70 | $58.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | None (both parts) | $53.70 | $53.70 | $141.25 |
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 $26.30 Median $26.30 Typical High $95.50 | Professional | TC · Technical part | $26.30 | $26.30 | $95.50 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $25.70 | $42.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $223.87 | Facility | None | $97.72 | $125.89 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $91.20 Typical High $371.54 | Professional | None (both parts) | $53.70 | $91.20 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $138.04 | Professional | 26 · Professional part | $27.54 | $39.81 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $53.70 Typical High $263.03 | Professional | TC · Technical part | $26.92 | $53.70 | $263.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $354.81 Median $489.78 Typical High $741.31 | Facility | None | $354.81 | $489.78 | $741.31 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
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 $48.98 Median $91.20 Typical High $269.15 | Professional | None (both parts) | $48.98 | $91.20 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $79.43 | Professional | 26 · Professional part | $19.95 | $28.84 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $58.88 Typical High $186.21 | Professional | TC · Technical part | $23.44 | $58.88 | $186.21 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $42.66 | $42.66 | $42.66 |
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· 32nd of 51
$77.62
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.