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 TC · Technical part Typical Low $199.53 Median $398.11 Typical High $489.78 | Facility | TC · Technical part | $199.53 | $398.11 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | TC · Technical part | $199.53 | $199.53 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $489.78 | Facility | None | $165.96 | $229.09 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $120.23 Typical High $295.12 | Professional | None (both parts) | $81.28 | $120.23 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $204.17 | Professional | 26 · Professional part | $34.67 | $52.48 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $46.77 | $69.18 | $165.96 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $74.13 | $154.88 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $45.71 | $104.71 | $186.21 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | FX · Film X-ray | $165.96 | $165.96 | $169.82 |
Where West Virginia 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.
West Virginia· 36th of 51
$155
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.