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 None Typical Low $165.96 Median $165.96 Typical High $190.55 | Facility | None | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $147.91 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $54.95 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | TC · Technical part | $97.72 | $112.20 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $1,174.90 | Facility | None | $257.04 | $257.04 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $114.82 | $138.04 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $60.26 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $81.28 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $309.03 | Professional | None (both parts) | $114.82 | $147.91 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $61.66 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $58.88 | $91.20 | $181.97 |
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 $74.13 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $30.20 | $33.88 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $120.23 | $134.90 | $134.90 |
Where Delaware sits
The same service costs 4.3 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.
Delaware· 44th 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.