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 $43.65 Median $44.67 Typical High $114.82 | Facility | None | $43.65 | $44.67 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $42.66 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $14.45 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $28.18 | $28.18 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $194.98 | Facility | None | $69.18 | $69.18 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $33.88 | $52.48 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $16.98 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $22.91 | $35.48 | $53.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $338.84 | Facility | None | $63.10 | $81.28 | $338.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | None (both parts) | $58.88 | $58.88 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $100.00 | Professional | None (both parts) | $36.31 | $48.98 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $33.11 | Professional | 26 · Professional part | $11.48 | $15.49 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $67.61 | Professional | TC · Technical part | $24.55 | $33.88 | $67.61 |
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 $19.95 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $19.95 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $7.94 | $8.71 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $31.62 | $35.48 | $35.48 |
Where Delaware sits
The same service costs 4.0 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· 46th of 51
$45.71
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.