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 $60.26 Median $63.10 Typical High $158.49 | Facility | None | $60.26 | $63.10 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $60.26 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $13.80 | $16.22 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $46.77 | $51.29 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $194.98 | Facility | None | $97.72 | $97.72 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $45.71 | $72.44 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $11.22 | $17.78 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $87.10 | Professional | TC · Technical part | $34.67 | $54.95 | $87.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $87.10 Median $91.20 Typical High $295.12 | Facility | None | $87.10 | $91.20 | $295.12 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $134.90 | Professional | None (both parts) | $48.98 | $63.10 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $34.67 | Professional | 26 · Professional part | $12.02 | $16.98 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $100.00 | Professional | TC · Technical part | $37.15 | $48.98 | $100.00 |
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 $27.54 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.59 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | FX · Film X-ray | $43.65 | $48.98 | $48.98 |
Where Delaware sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 39th of 51
$67.61
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.