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 $323.59 Median $954.99 Typical High $1,949.84 | Facility | None | $323.59 | $954.99 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $426.58 | $478.63 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $125.89 | $141.25 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $281.84 | $338.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $660.69 | Facility | None | $512.86 | $512.86 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $331.13 | $776.25 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $204.17 | Professional | 26 · Professional part | $77.62 | $117.49 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $575.44 Typical High $1,071.52 | Professional | TC · Technical part | $218.78 | $575.44 | $1,071.52 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.99 Median $977.24 Typical High $1,513.56 | Facility | None | $23.99 | $977.24 | $1,513.56 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $331.13 | $331.13 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $1,288.25 | Professional | None (both parts) | $302.00 | $457.09 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $85.11 | $117.49 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $1,096.48 | Professional | TC · Technical part | $208.93 | $331.13 | $1,096.48 |
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 $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $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 6.6 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· 35th 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.