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 $109.65 Median $114.82 Typical High $363.08 | Facility | None | $109.65 | $114.82 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $114.82 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $40.74 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $141.25 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $194.98 | Facility | None | $169.82 | $169.82 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $109.65 | $223.87 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $28.18 | $42.66 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $67.61 | $154.88 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $154.88 Median $295.12 Typical High $537.03 | Facility | None | $154.88 | $295.12 | $537.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $70.79 Typical High $436.52 | Professional | 26 · Professional part | $39.81 | $70.79 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $95.50 | $138.04 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $42.66 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $234.42 | Professional | TC · Technical part | $61.66 | $95.50 | $234.42 |
4 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 $52.48 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $22.91 | $25.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $87.10 Median $97.72 Typical High $104.71 | Professional | CT · Older CT scanner | $87.10 | $97.72 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $91.20 | $100.00 |
Where Delaware sits
The same service costs 20.4 times more in Vermont 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· 26th of 51
$178
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.