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 $275.42 Median $288.40 Typical High $776.25 | Facility | None | $275.42 | $288.40 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $275.42 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $83.18 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $309.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $416.87 | Facility | None | $316.23 | $316.23 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $691.83 | Professional | None (both parts) | $288.40 | $524.81 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $95.50 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $199.53 | $380.19 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $1,122.02 Typical High $5,011.87 | Facility | None | $380.19 | $1,122.02 | $5,011.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $707.95 | Professional | None (both parts) | $251.19 | $363.08 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $67.61 | $93.33 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $173.78 | $251.19 | $575.44 |
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 $123.03 Median $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $54.95 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $190.55 | $218.78 | $239.88 |
Where Delaware sits
The same service costs 12.3 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· 31st of 51
$389
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.