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 $81.28 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $41.69 | $45.71 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $36.31 | $36.31 | $50.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $1,148.15 | Professional | None (both parts) | $85.11 | $123.03 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $478.63 | Professional | 26 · Professional part | $46.77 | $67.61 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $269.15 | Professional | TC · Technical part | $37.15 | $57.54 | $269.15 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $263.03 | Professional | None (both parts) | $67.61 | $93.33 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $128.82 | Professional | 26 · Professional part | $31.62 | $50.12 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $46.77 Typical High $131.83 | Professional | TC · Technical part | $28.84 | $46.77 | $131.83 |
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 $29.51 Median $58.88 Typical High $72.44 | Facility | FX · Film X-ray | $29.51 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $66.07 | $66.07 | $66.07 |
Where West Virginia sits
The same service costs 4.2 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· 29th of 51
$107
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.