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 $269.15 Median $281.84 Typical High $794.33 | Facility | None | $269.15 | $281.84 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $269.15 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $75.86 | $79.43 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $309.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $416.87 | Facility | None | $316.23 | $316.23 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $676.08 | Professional | None (both parts) | $288.40 | $549.54 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $87.10 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $436.52 Typical High $575.44 | Professional | TC · Technical part | $194.98 | $436.52 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $1,202.26 Typical High $3,019.95 | Facility | None | $380.19 | $1,202.26 | $3,019.95 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $776.25 | Professional | None (both parts) | $245.47 | $354.81 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $89.13 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $676.08 | Professional | TC · Technical part | $177.83 | $263.03 | $676.08 |
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 $120.23 Median $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $53.70 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $229.09 Typical High $251.19 | Professional | CT · Older CT scanner | $199.53 | $229.09 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $213.80 Typical High $234.42 | Professional | FX · Film X-ray | $190.55 | $213.80 | $234.42 |
Where Delaware sits
The same service costs 7.6 times more in Vermont 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· 29th of 51
$389
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.