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 Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $89.13 | $91.20 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $28.84 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $63.10 | $123.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $288.40 | Facility | None | $95.50 | $181.97 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $467.74 | Professional | None (both parts) | $95.50 | $131.83 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $147.91 | Professional | 26 · Professional part | $29.51 | $42.66 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $331.13 | Professional | TC · Technical part | $64.57 | $89.13 | $331.13 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | TC · Technical part | $199.53 | $199.53 | $199.53 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
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 $64.57 Median $95.50 Typical High $245.47 | Professional | None (both parts) | $64.57 | $95.50 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $31.62 Typical High $83.18 | Professional | 26 · Professional part | $20.42 | $31.62 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $162.18 | Professional | TC · Technical part | $41.69 | $64.57 | $162.18 |
4 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 Facility Modifier FX · Film X-ray Typical Low $50.12 Median $100.00 Typical High $125.89 | Facility | FX · Film X-ray | $50.12 | $100.00 | $125.89 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
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· 22nd 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.