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 $93.33 Median $93.33 Typical High $107.15 | Facility | None | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $95.50 | Professional | None (both parts) | $83.18 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $15.14 | Professional | 26 · Professional part | $12.59 | $14.13 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $81.28 | Professional | TC · Technical part | $69.18 | $79.43 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $158.49 | Facility | None | $138.04 | $138.04 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $64.57 | $81.28 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $15.14 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $66.07 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $64.57 | $85.11 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $31.62 | Professional | 26 · Professional part | $11.48 | $15.49 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $70.79 | $134.90 |
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 $41.69 Median $46.77 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $19.05 | Professional | 53 · Discontinued | $16.98 | $18.62 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $70.79 | $74.13 | $74.13 |
Where Delaware sits
The same service costs 4.3 times more in Alaska than in New York. 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· 42nd of 51
$89.13
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.