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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $263.03 | Professional | None (both parts) | $234.42 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $75.86 | $75.86 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $177.83 | Professional | TC · Technical part | $154.88 | $162.18 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74.13 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $74.13 | $177.83 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $1,047.13 | Facility | None | $416.87 | $741.31 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $1,258.93 | Professional | None (both parts) | $208.93 | $316.23 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $398.11 | Professional | 26 · Professional part | $77.62 | $114.82 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $891.25 | Professional | TC · Technical part | $144.54 | $213.80 | $891.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,698.24 | Facility | None | $1,258.93 | $1,258.93 | $1,698.24 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | TC · Technical part | $295.12 | $295.12 | $302.00 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $512.86 | Professional | None (both parts) | $147.91 | $234.42 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $218.78 | Professional | 26 · Professional part | $53.70 | $83.18 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $77.62 | $151.36 | $288.40 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $190.55 | $190.55 | $190.55 |
Where West Virginia sits
The same service costs 5.0 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· 36th of 51
$263
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.