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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $74.13 | $75.86 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $30.20 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $44.67 | $87.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $50.12 Typical High $107.15 | Professional | None (both parts) | $28.84 | $50.12 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $223.87 | Facility | None | $117.49 | $162.18 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $114.82 Typical High $389.05 | Professional | None (both parts) | $75.86 | $114.82 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $154.88 | Professional | 26 · Professional part | $30.90 | $44.67 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $245.47 | Professional | TC · Technical part | $45.71 | $72.44 | $245.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $660.69 | Facility | None | $380.19 | $457.09 | $660.69 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $72.44 | $138.04 | $208.93 |
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 $52.48 Median $85.11 Typical High $223.87 | Professional | None (both parts) | $52.48 | $85.11 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $87.10 | Professional | 26 · Professional part | $21.38 | $32.36 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $54.95 Typical High $134.90 | Professional | TC · Technical part | $32.36 | $54.95 | $134.90 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $60.26 | $60.26 | $60.26 |
Where West Virginia sits
The same service costs 3.6 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· 25th of 51
$100
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.