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 $177.83 Median $190.55 Typical High $549.54 | Facility | None | $177.83 | $190.55 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $190.55 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $56.23 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $229.09 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $229.09 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $316.23 | Facility | None | $275.42 | $275.42 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $177.83 | $346.74 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $257.04 | $331.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $251.19 Median $354.81 Typical High $1,778.28 | Facility | None | $251.19 | $354.81 | $1,778.28 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $154.88 | $223.87 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $64.57 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $363.08 | Professional | TC · Technical part | $104.71 | $151.36 | $363.08 |
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 $85.11 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $41.69 | Professional | 53 · Discontinued | $33.88 | $38.02 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $158.49 Typical High $173.78 | Professional | CT · Older CT scanner | $144.54 | $158.49 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $151.36 Typical High $165.96 | Professional | FX · Film X-ray | $134.90 | $151.36 | $165.96 |
Where Delaware sits
The same service costs 5.6 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· 26th of 51
$282
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.