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 $45.71 Median $51.29 Typical High $117.49 | Professional | None (both parts) | $45.71 | $51.29 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.13 Typical High $33.11 | Professional | 26 · Professional part | $13.49 | $14.13 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $31.62 | $38.02 | $85.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $223.87 | Facility | None | $87.10 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $263.03 | Professional | None (both parts) | $53.70 | $77.62 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $69.18 | Professional | 26 · Professional part | $15.85 | $21.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $194.98 | Professional | TC · Technical part | $39.81 | $56.23 | $194.98 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | TC · Technical part | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $134.90 | Professional | None (both parts) | $33.11 | $66.07 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $19.50 Typical High $40.74 | Professional | 26 · Professional part | $9.77 | $19.50 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $23.44 | $46.77 | $95.50 |
1 more rate 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 $25.12 Median $50.12 Typical High $63.10 | Facility | FX · Film X-ray | $25.12 | $50.12 | $63.10 |
Where West Virginia sits
The same service costs 4.7 times more in Alaska than in Utah. 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· 20th of 51
$72.44
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.