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 TC · Technical part Typical Low $72.44 Median $144.54 Typical High $181.97 | Facility | TC · Technical part | $72.44 | $144.54 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $107.15 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $33.11 | $33.88 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | TC · Technical part | $72.44 | $72.44 | $102.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $32.36 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $32.36 | $81.28 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $489.78 | Facility | None | $186.21 | $331.13 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $562.34 | Professional | None (both parts) | $107.15 | $158.49 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $169.82 | Professional | 26 · Professional part | $33.88 | $50.12 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $398.11 | Professional | TC · Technical part | $74.13 | $107.15 | $398.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $58.88 | $199.53 | $316.23 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $288.40 | Professional | None (both parts) | $74.13 | $109.65 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $36.31 Typical High $93.33 | Professional | 26 · Professional part | $22.91 | $36.31 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $75.86 Typical High $194.98 | Professional | TC · Technical part | $46.77 | $75.86 | $194.98 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $85.11 | $85.11 | $85.11 |
Where West Virginia sits
The same service costs 3.9 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· 32nd of 51
$129
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.