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 $91.20 Median $102.33 Typical High $165.96 | Facility | None | $91.20 | $102.33 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $91.20 | $91.20 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $30.20 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $61.66 | $123.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $28.18 | $70.79 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $288.40 | Facility | None | $117.49 | $223.87 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $478.63 | Professional | None (both parts) | $95.50 | $134.90 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $151.36 | Professional | 26 · Professional part | $30.20 | $43.65 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $331.13 | Professional | TC · Technical part | $64.57 | $83.18 | $331.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $707.95 | Facility | None | $309.03 | $501.19 | $707.95 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $154.88 | $165.96 | $269.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $53.70 | $79.43 |
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 $67.61 Median $107.15 Typical High $288.40 | Professional | None (both parts) | $67.61 | $107.15 | $288.40 |
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 $47.86 Median $74.13 Typical High $199.53 | Professional | TC · Technical part | $47.86 | $74.13 | $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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $74.13 | $74.13 | $74.13 |
Where West Virginia sits
The same service costs 4.2 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· 23rd of 51
$120
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.