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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $208.93 | Professional | None (both parts) | $104.71 | $104.71 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $34.67 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $69.18 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $407.38 | Facility | None | $95.50 | $181.97 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $588.84 | Professional | None (both parts) | $120.23 | $177.83 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $177.83 | Professional | 26 · Professional part | $35.48 | $50.12 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $426.58 | Professional | TC · Technical part | $89.13 | $128.82 | $426.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $97.72 Median $380.19 Typical High $660.69 | Facility | None | $97.72 | $380.19 | $660.69 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $93.33 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $93.33 | $95.50 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $323.59 | Professional | None (both parts) | $85.11 | $128.82 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $100.00 | Professional | 26 · Professional part | $24.55 | $38.02 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $229.09 | Professional | TC · Technical part | $56.23 | $89.13 | $229.09 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
Where West Virginia sits
The same service costs 3.7 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· 24th of 51
$151
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.