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 $426.58 Median $426.58 Typical High $1,949.84 | Facility | None | $426.58 | $426.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $426.58 | $426.58 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Facility | None | $831.76 | $831.76 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,445.44 Typical High $2,570.40 | Professional | None (both parts) | $851.14 | $1,445.44 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $102.33 | $144.54 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,288.25 Typical High $2,290.87 | Professional | TC · Technical part | $851.14 | $1,288.25 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $1,445.44 | Professional | None (both parts) | $288.40 | $549.54 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $316.23 | Professional | 26 · Professional part | $112.20 | $151.36 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $407.38 Typical High $1,096.48 | Professional | TC · Technical part | $177.83 | $407.38 | $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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $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 12.3 times more in Wyoming than in Hawaii. 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· 17th of 51
$933
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.