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 $426.58 Median $758.58 Typical High $1,949.84 | Facility | None | $426.58 | $758.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $426.58 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $117.49 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $354.81 | Professional | TC · Technical part | $302.00 | $338.84 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $645.65 | Professional | None (both parts) | $269.15 | $549.54 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $50.12 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $436.52 Typical High $549.54 | Professional | TC · Technical part | $199.53 | $436.52 | $549.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $1,905.46 | Facility | None | $380.19 | $380.19 | $1,905.46 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $707.95 Typical High $741.31 | Professional | 26 · Professional part | $371.54 | $707.95 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $707.95 | Professional | None (both parts) | $251.19 | $363.08 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $54.95 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $275.42 | $575.44 |
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 $165.96 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Where Delaware sits
The same service costs 5.5 times more in Wyoming 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· 20th of 51
$479
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.