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 $37.15 Median $38.90 Typical High $97.72 | Facility | None | $37.15 | $38.90 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $30.20 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $7.41 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $25.12 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $138.04 | Facility | None | $58.88 | $58.88 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $26.30 | $32.36 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $5.89 | $8.51 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $18.20 | $23.99 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $186.21 Typical High $229.09 | Facility | None | $53.70 | $186.21 | $229.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $72.44 | Professional | None (both parts) | $28.18 | $34.67 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $6.61 | $9.12 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $54.95 | Professional | TC · Technical part | $19.95 | $25.12 | $54.95 |
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 $16.60 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $7.76 | Professional | 53 · Discontinued | $6.61 | $7.41 | $7.76 |
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· 47th of 51
$33.11
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.