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 $37.15 Typical High $38.90 | Facility | None | $37.15 | $37.15 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $38.90 | Professional | None (both parts) | $34.67 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.41 Typical High $7.59 | Professional | 26 · Professional part | $6.61 | $7.41 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $30.90 | Professional | TC · Technical part | $28.18 | $30.20 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $398.11 | Facility | None | $67.61 | $67.61 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $32.36 Typical High $67.61 | Professional | None (both parts) | $24.55 | $32.36 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.13 Typical High $13.80 | Professional | 26 · Professional part | $5.62 | $8.13 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $24.55 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $27.54 | $36.31 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $16.98 | Professional | 26 · Professional part | $6.17 | $8.71 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $17.78 | $28.84 | $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 $17.38 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.41 Typical High $7.76 | Professional | 53 · Discontinued | $7.08 | $7.41 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $28.18 | $30.20 | $30.20 |
Where Delaware sits
The same service costs 3.6 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· 44th of 51
$37.15
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.