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 $229.09 Median $426.58 Typical High $1,949.84 | Facility | None | $229.09 | $426.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $549.54 | Professional | None (both parts) | $398.11 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $281.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $398.11 | Facility | None | $354.81 | $354.81 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $537.03 Typical High $645.65 | Professional | None (both parts) | $239.88 | $537.03 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $169.82 | $416.87 | $562.34 |
Highmark BCBS Setting Facility Modifier None Typical Low $331.13 Median $660.69 Typical High $1,479.11 | Facility | None | $331.13 | $660.69 | $1,479.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $724.44 | Professional | None (both parts) | $213.80 | $309.03 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $69.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $257.04 | $630.96 |
3 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 $141.25 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Where Delaware sits
The same service costs 5.8 times more in Wyoming 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· 19th of 51
$479
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.