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 $38.02 Median $38.02 Typical High $54.95 | Facility | None | $38.02 | $38.02 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $38.90 | Professional | None (both parts) | $33.88 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $8.91 | Professional | 26 · Professional part | $7.59 | $8.51 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $30.90 | Professional | TC · Technical part | $26.30 | $29.51 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $194.98 | Facility | None | $61.66 | $61.66 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $28.18 | $35.48 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $6.17 | $8.91 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $26.92 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $81.28 | Professional | None (both parts) | $30.20 | $37.15 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $18.62 | Professional | 26 · Professional part | $7.08 | $9.33 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $27.54 | $63.10 |
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 $16.98 Median $19.05 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $6.76 | $7.59 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $27.54 | $30.20 | $30.20 |
Where Delaware sits
The same service costs 3.9 times more in Alaska 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.
Delaware· 41st of 51
$38.02
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.