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 $52.48 Median $56.23 Typical High $138.04 | Facility | None | $52.48 | $56.23 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $79.43 | Professional | None (both parts) | $47.86 | $51.29 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.49 Typical High $20.89 | Professional | 26 · Professional part | $12.59 | $13.49 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $33.88 | $38.90 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $194.98 | Facility | None | $87.10 | $87.10 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $36.31 | $53.70 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $14.79 Typical High $23.99 | Professional | 26 · Professional part | $9.12 | $14.79 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $26.30 | $38.90 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $77.62 Median $263.03 Typical High $295.12 | Facility | None | $77.62 | $263.03 | $295.12 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $114.82 | Professional | None (both parts) | $42.66 | $52.48 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $30.90 | Professional | 26 · Professional part | $10.96 | $14.45 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $83.18 | Professional | TC · Technical part | $31.62 | $38.02 | $83.18 |
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 $23.44 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $23.44 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $9.55 | $10.47 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | FX · Film X-ray | $38.02 | $41.69 | $41.69 |
Where Delaware sits
The same service costs 4.8 times more in Alaska 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· 43rd of 51
$52.48
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.