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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $194.98 | Professional | None (both parts) | $162.18 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $75.86 | $83.18 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $104.71 | Professional | TC · Technical part | $91.20 | $95.50 | $104.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $933.25 | Professional | None (both parts) | $169.82 | $269.15 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $588.84 | Professional | 26 · Professional part | $85.11 | $123.03 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $524.81 | Professional | TC · Technical part | $91.20 | $141.25 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $446.68 Typical High $645.65 | Facility | None | $147.91 | $446.68 | $645.65 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $147.91 Typical High $154.88 | Professional | 26 · Professional part | $141.25 | $147.91 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $120.23 | $186.21 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $234.42 | Professional | 26 · Professional part | $57.54 | $91.20 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $281.84 | Professional | TC · Technical part | $57.54 | $93.33 | $281.84 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $141.25 | $141.25 | $141.25 |
Where West Virginia sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 22nd of 51
$224
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.