How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $177.83 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $32.36 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $165.96 | $169.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $147.91 Typical High $239.88 | Facility | None | $87.10 | $147.91 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $83.18 | $83.18 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $35.48 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $47.86 | $47.86 | $54.95 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $218.78 | Facility | None | $79.43 | $123.03 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $275.42 Typical High $1,258.93 | Professional | None (both parts) | $104.71 | $275.42 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $64.57 Typical High $575.44 | Professional | 26 · Professional part | $36.31 | $64.57 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $269.15 Typical High $794.33 | Professional | TC · Technical part | $67.61 | $269.15 | $794.33 |
United Setting Facility Modifier None Typical Low $104.71 Median $389.05 Typical High $616.60 | Facility | None | $104.71 | $389.05 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $109.65 | $245.47 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $42.66 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $67.61 | $208.93 | $275.42 |
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 $89.13 Median $89.13 Typical High $123.03 | Professional | 52 · Reduced service | $89.13 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | 53 · Discontinued | $35.48 | $35.48 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $144.54 Typical High $165.96 | Professional | FX · Film X-ray | $141.25 | $144.54 | $165.96 |
Where Oklahoma sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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.
Oklahoma· 24th of 51
$204
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.