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 $31.62 Median $31.62 Typical High $54.95 | Facility | None | $31.62 | $31.62 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $38.90 | Professional | None (both parts) | $27.54 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $8.51 | $8.51 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $27.54 | Professional | TC · Technical part | $18.62 | $18.62 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $138.04 | Facility | None | $50.12 | $50.12 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $23.44 | $33.11 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $6.92 | $9.33 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $16.22 | $23.44 | $37.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $389.05 | Facility | None | $229.09 | $380.19 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $70.79 | Professional | None (both parts) | $25.70 | $32.36 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $10.47 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $47.86 | Professional | TC · Technical part | $17.38 | $23.44 | $47.86 |
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 $14.13 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $6.31 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $25.12 | $25.12 |
Where Delaware sits
The same service costs 3.8 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
$31.62
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.