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 $162.18 Median $169.82 Typical High $446.68 | Facility | None | $162.18 | $169.82 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $169.82 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $58.88 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $177.83 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $257.04 | Facility | None | $194.98 | $194.98 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $407.38 | Professional | None (both parts) | $169.82 | $323.59 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $251.19 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $691.83 Typical High $1,258.93 | Facility | None | $295.12 | $691.83 | $1,258.93 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $645.65 | Professional | 26 · Professional part | $61.66 | $75.86 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $144.54 | $229.09 | $457.09 |
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 $102.33 Median $158.49 Typical High $331.13 | Professional | TC · Technical part | $102.33 | $158.49 | $331.13 |
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 $77.62 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $77.62 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $33.88 | $37.15 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $144.54 Typical High $158.49 | Professional | CT · Older CT scanner | $131.83 | $144.54 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $138.04 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $138.04 | $151.36 |
Where Delaware sits
The same service costs 6.2 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· 33rd of 51
$234
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.