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 $47.86 Median $47.86 Typical High $72.44 | Facility | None | $47.86 | $47.86 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $39.81 | $39.81 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $12.02 | $12.02 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $28.18 | $28.18 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $194.98 | Facility | None | $74.13 | $74.13 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $79.43 | Professional | None (both parts) | $33.11 | $46.77 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $13.80 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $33.11 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $77.62 Median $218.78 Typical High $275.42 | Facility | None | $77.62 | $218.78 | $275.42 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $104.71 | Professional | None (both parts) | $38.02 | $47.86 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $28.18 | Professional | 26 · Professional part | $10.72 | $14.45 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $33.88 | $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 $21.38 Median $23.99 Typical High $24.55 | Professional | 52 · Reduced service | $21.38 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.55 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $9.55 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | FX · Film X-ray | $33.88 | $38.02 | $38.02 |
Where Delaware sits
The same service costs 4.1 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· 41st of 51
$46.77
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.