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 $102.33 Median $102.33 Typical High $204.17 | Facility | None | $102.33 | $102.33 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $35.48 | $35.48 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $48.98 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $398.11 | Facility | None | $177.83 | $177.83 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $77.62 | $112.20 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $40.74 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $45.71 | $70.79 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $87.10 | $120.23 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $43.65 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $53.70 | $72.44 | $147.91 |
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 $47.86 Median $51.29 Typical High $52.48 | Professional | 52 · Reduced service | $47.86 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $20.89 | Professional | 53 · Discontinued | $19.05 | $20.42 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $75.86 | $81.28 | $81.28 |
Where Delaware sits
The same service costs 4.4 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
$102
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.