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 $43.65 Median $45.71 Typical High $114.82 | Facility | None | $43.65 | $45.71 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None (both parts) | $40.74 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $30.90 | $30.90 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $194.98 | Facility | None | $70.79 | $70.79 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $31.62 | $47.86 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.22 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $11.22 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $24.55 | $37.15 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $89.13 | Facility | None | $63.10 | $63.10 | $89.13 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $45.71 Typical High $97.72 | Professional | None (both parts) | $35.48 | $45.71 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $12.30 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $34.67 Typical High $69.18 | Professional | TC · Technical part | $26.30 | $34.67 | $69.18 |
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 $19.50 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $19.50 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $7.76 | $8.71 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $31.62 | $34.67 | $34.67 |
Where Delaware sits
The same service costs 3.9 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· 42nd of 51
$44.67
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.