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 $60.26 Median $60.26 Typical High $75.86 | Facility | None | $60.26 | $60.26 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $61.66 | Professional | None (both parts) | $53.70 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $14.79 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $45.71 | Professional | TC · Technical part | $38.02 | $43.65 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $831.76 | Facility | None | $97.72 | $97.72 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $41.69 | $51.29 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $12.02 | $16.98 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $34.67 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $114.82 | Professional | None (both parts) | $43.65 | $54.95 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $18.20 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $35.48 | $74.13 |
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 $26.92 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $10.72 | $12.02 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | FX · Film X-ray | $43.65 | $47.86 | $47.86 |
Where Delaware sits
The same service costs 5.6 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· 40th of 51
$57.54
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.