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 $223.87 Median $239.88 Typical High $630.96 | Facility | None | $223.87 | $239.88 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $239.88 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $66.07 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $162.18 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $229.09 | $416.87 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $72.44 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $338.84 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $338.84 | $380.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $1,202.26 | Facility | None | $316.23 | $323.59 | $1,202.26 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $75.86 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $199.53 | $288.40 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $77.62 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $407.38 | Professional | TC · Technical part | $134.90 | $190.55 | $407.38 |
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 $107.15 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $47.86 | $52.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $204.17 Typical High $223.87 | Professional | CT · Older CT scanner | $181.97 | $204.17 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $194.98 Typical High $208.93 | Professional | FX · Film X-ray | $169.82 | $194.98 | $208.93 |
Where Delaware sits
The same service costs 6.3 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· 27th of 51
$339
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.