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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $35.48 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $13.18 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $22.39 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.88 Median $25.12 Typical High $51.29 | Professional | None (both parts) | $12.88 | $25.12 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $194.98 | Professional | None (both parts) | $31.62 | $47.86 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $70.79 | Professional | 26 · Professional part | $12.59 | $19.05 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $128.82 | Professional | TC · Technical part | $19.95 | $28.84 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,148.15 | Facility | None | $263.03 | $426.58 | $1,148.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $22.91 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $95.50 | Professional | None (both parts) | $23.44 | $33.88 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.45 Typical High $42.66 | Professional | 26 · Professional part | $10.47 | $14.45 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.50 Typical High $52.48 | Professional | TC · Technical part | $13.18 | $19.50 | $52.48 |
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 $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $28.84 | $28.84 | $28.84 |
Where West Virginia sits
The same service costs 4.1 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· 36th of 51
$38.90
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.