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 $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | TC · Technical part | $47.86 | $47.86 | $48.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $363.08 | Professional | None (both parts) | $95.50 | $147.91 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $331.13 | Professional | 26 · Professional part | $53.70 | $81.28 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $64.57 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $87.10 | $120.23 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $60.26 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $60.26 | $102.33 |
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 $38.02 Median $75.86 Typical High $95.50 | Facility | FX · Film X-ray | $38.02 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | FX · Film X-ray | $87.10 | $87.10 | $89.13 |
Where West Virginia sits
The same service costs 4.5 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· 42nd 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.