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 $109.65 Median $120.23 Typical High $165.96 | Facility | None | $109.65 | $120.23 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $109.65 | $109.65 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $32.36 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $75.86 | $77.62 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $30.90 | $85.11 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $354.81 | Facility | None | $117.49 | $223.87 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $562.34 | Professional | None (both parts) | $112.20 | $158.49 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $162.18 | Professional | 26 · Professional part | $33.11 | $46.77 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $407.38 | Professional | TC · Technical part | $77.62 | $102.33 | $407.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $741.31 | Facility | None | $169.82 | $524.81 | $741.31 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $87.10 | $194.98 | $316.23 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $50.12 | $70.79 | $87.10 |
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 $75.86 Median $112.20 Typical High $288.40 | Professional | None (both parts) | $75.86 | $112.20 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $91.20 | Professional | 26 · Professional part | $22.39 | $35.48 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $199.53 | Professional | TC · Technical part | $50.12 | $77.62 | $199.53 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
Where West Virginia sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$135
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.