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 $138.04 Median $144.54 Typical High $467.74 | Facility | None | $138.04 | $144.54 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $144.54 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $50.12 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $213.80 | Facility | None | $194.98 | $194.98 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $144.54 | $309.03 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $229.09 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $549.54 | Facility | None | $190.55 | $354.81 | $549.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $120.23 | $186.21 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $54.95 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $83.18 | $123.03 | $295.12 |
4 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 $66.07 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $28.84 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $123.03 Typical High $131.83 | Professional | CT · Older CT scanner | $109.65 | $123.03 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $114.82 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $114.82 | $125.89 |
Where Delaware sits
The same service costs 6.2 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· 24th of 51
$224
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.