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 $53.70 Typical High $83.18 | Facility | None | $31.62 | $53.70 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $28.18 | $28.18 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $10.00 | Professional | 26 · Professional part | $7.59 | $7.59 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | TC · Technical part | $20.42 | $20.42 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $138.04 | Facility | None | $51.29 | $51.29 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $23.44 | $32.36 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $5.89 | $8.13 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $23.99 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
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 $6.61 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $6.61 | $9.12 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $19.05 | $24.55 | $50.12 |
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 $16.60 | Professional | 52 · Reduced service | $14.13 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $6.61 | Professional | 53 · Discontinued | $5.62 | $6.31 | $6.61 |
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 3.5 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· 43rd 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.