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 $38.90 Median $41.69 Typical High $102.33 | Facility | None | $38.90 | $41.69 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.90 Typical High $57.54 | Professional | None (both parts) | $36.31 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $10.47 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $26.92 | $28.84 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $194.98 | Facility | None | $64.57 | $64.57 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $28.84 | $39.81 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $10.47 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $19.50 | $29.51 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $56.23 Median $194.98 Typical High $281.84 | Facility | None | $56.23 | $194.98 | $281.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $36.31 | $37.15 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $87.10 | Professional | None (both parts) | $31.62 | $38.90 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.75 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $60.26 | Professional | TC · Technical part | $22.91 | $27.54 | $60.26 |
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 $17.38 Median $19.50 Typical High $19.95 | Professional | 52 · Reduced service | $17.38 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $7.76 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | FX · Film X-ray | $28.18 | $30.90 | $30.90 |
Where Delaware sits
The same service costs 12.6 times more in Vermont 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
$38.90
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.