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 $398.11 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $398.11 | $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 $223.87 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $223.87 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $549.54 | Facility | None | $316.23 | $316.23 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,621.81 Typical High $2,398.83 | Professional | None (both parts) | $954.99 | $1,621.81 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $162.18 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $162.18 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,445.44 Typical High $2,238.72 | Professional | TC · Technical part | $870.96 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $288.40 | $389.05 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $158.49 Typical High $323.59 | Professional | 26 · Professional part | $123.03 | $158.49 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $213.80 | $446.68 |
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 $144.54 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $144.54 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $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 13.5 times more in Wyoming than in Washington. 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· 10th of 51
$955
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.