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 $33.11 Median $33.88 Typical High $87.10 | Facility | None | $33.11 | $33.88 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $28.84 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $8.51 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $20.42 | $20.89 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $138.04 | Facility | None | $52.48 | $52.48 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $56.23 | Professional | None (both parts) | $24.55 | $35.48 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.23 Typical High $16.98 | Professional | 26 · Professional part | $6.61 | $10.23 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $39.81 | Professional | TC · Technical part | $17.38 | $25.70 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $48.98 Median $56.23 Typical High $177.83 | Facility | None | $48.98 | $56.23 | $177.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $74.13 | Professional | None (both parts) | $26.92 | $34.67 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $21.38 | Professional | 26 · Professional part | $7.59 | $10.47 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $51.29 | Professional | TC · Technical part | $19.05 | $25.12 | $51.29 |
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 $14.79 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $14.79 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.61 Typical High $6.76 | Professional | 53 · Discontinued | $5.89 | $6.61 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $23.99 | $26.30 | $26.30 |
Where Delaware sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 42nd of 51
$33.88
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.