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 $3.24 Median $5.37 Typical High $5.37 | Facility | None | $3.24 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.25 Median $5.37 Typical High $7.08 | Professional | None (both parts) | $5.25 | $5.37 | $7.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.09 Median $2.14 Typical High $2.75 | Professional | 26 · Professional part | $2.09 | $2.14 | $2.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.24 Typical High $4.47 | Professional | TC · Technical part | $3.16 | $3.24 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $40.74 Typical High $120.23 | Facility | None | $19.50 | $40.74 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.17 Median $6.17 Typical High $13.49 | Professional | None (both parts) | $6.17 | $6.17 | $13.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $2.34 Typical High $3.72 | Professional | 26 · Professional part | $2.34 | $2.34 | $3.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $3.89 Typical High $8.91 | Professional | TC · Technical part | $3.80 | $3.89 | $8.91 |
Medica Setting Facility Modifier None Typical Low $5.62 Median $8.13 Typical High $60.26 | Facility | None | $5.62 | $8.13 | $60.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $6.92 Median $16.98 Typical High $741.31 | Professional | None (both parts) | $6.92 | $16.98 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $2.57 | $81.28 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $3.89 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $6.03 Median $7.59 Typical High $23.99 | Professional | None (both parts) | $6.03 | $7.59 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.40 Median $2.95 Typical High $4.37 | Professional | 26 · Professional part | $2.40 | $2.95 | $4.37 |
United Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.57 Typical High $21.38 | Professional | TC · Technical part | $3.63 | $4.57 | $21.38 |
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 $2.63 Median $2.69 Typical High $3.55 | Professional | 52 · Reduced service | $2.63 | $2.69 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.45 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.27 Median $4.27 Typical High $4.79 | Professional | FX · Film X-ray | $4.27 | $4.27 | $4.79 |
Where Oklahoma sits
The same service costs 4.2 times more in Kansas 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.
Oklahoma· 41st of 51
$8.51
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.