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 $17.38 Median $17.38 Typical High $52.48 | Facility | None | $17.38 | $17.38 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.05 Typical High $25.12 | Professional | None (both parts) | $17.38 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $9.12 | $9.12 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $10.00 Typical High $12.59 | Professional | TC · Technical part | $7.94 | $10.00 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $138.04 | Facility | None | $31.62 | $31.62 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $27.54 Typical High $38.02 | Professional | None (both parts) | $15.85 | $27.54 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $17.38 | Professional | 26 · Professional part | $6.92 | $10.23 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $14.79 Typical High $25.12 | Professional | TC · Technical part | $7.41 | $14.79 | $25.12 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | TC · Technical part | $407.38 | $407.38 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $21.38 Typical High $43.65 | Professional | None (both parts) | $15.85 | $21.38 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.72 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $10.72 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $10.47 Typical High $25.12 | Professional | TC · Technical part | $7.41 | $10.47 | $25.12 |
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 $7.94 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $7.94 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.47 Typical High $3.55 | Professional | 53 · Discontinued | $3.16 | $3.47 | $3.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | FX · Film X-ray | $12.59 | $13.80 | $13.80 |
Where Delaware sits
The same service costs 3.6 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· 47th of 51
$19.50
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.