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 $162.18 Typical High $426.58 | Facility | None | $154.88 | $162.18 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $162.18 | $234.42 | $269.15 |
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 $100.00 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $239.88 | Facility | None | $194.98 | $194.98 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $158.49 | $288.40 | $338.84 |
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 $91.20 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $213.80 | $245.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $1,258.93 | Facility | None | $223.87 | $512.86 | $1,258.93 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $562.34 Typical High $1,096.48 | Professional | 26 · Professional part | $58.88 | $562.34 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $134.90 | $194.98 | $371.54 |
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 $83.18 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $117.49 | $269.15 |
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 $74.13 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $32.36 | $35.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $138.04 Typical High $151.36 | Professional | CT · Older CT scanner | $123.03 | $138.04 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $117.49 | $128.82 | $141.25 |
Where Delaware sits
The same service costs 5.8 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
$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.