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 $154.88 Median $165.96 Typical High $524.81 | Facility | None | $154.88 | $165.96 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $295.12 | Professional | None (both parts) | $165.96 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $54.95 | $56.23 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $109.65 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $316.23 | Facility | None | $245.47 | $245.47 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $162.18 | $316.23 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $64.57 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $100.00 | $229.09 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $218.78 Median $933.25 Typical High $1,479.11 | Facility | None | $218.78 | $933.25 | $1,479.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $138.04 | $194.98 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $58.88 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $141.25 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $141.25 | $338.84 |
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 $75.86 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $33.11 | $36.31 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $125.89 Median $141.25 Typical High $151.36 | Professional | CT · Older CT scanner | $125.89 | $141.25 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $131.83 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $131.83 | $144.54 |
Where Delaware sits
The same service costs 5.9 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· 22nd of 51
$288
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.