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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $72.44 | Professional | None (both parts) | $61.66 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $24.55 | $26.30 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $38.02 | $38.02 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $42.66 Typical High $91.20 | Professional | None (both parts) | $25.70 | $42.66 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $223.87 | Facility | None | $112.20 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $426.58 | Professional | None (both parts) | $66.07 | $97.72 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $138.04 | Professional | 26 · Professional part | $26.92 | $39.81 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $204.17 | Professional | TC · Technical part | $39.81 | $54.95 | $204.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,230.27 | Facility | None | $457.09 | $457.09 | $1,230.27 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $38.90 | $51.29 |
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 $50.12 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $50.12 | $91.20 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $75.86 | Professional | 26 · Professional part | $18.62 | $29.51 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $60.26 Typical High $104.71 | Professional | TC · Technical part | $26.30 | $60.26 | $104.71 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $51.29 | $51.29 | $51.29 |
Where West Virginia sits
The same service costs 4.4 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· 30th of 51
$85.11
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.