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 $173.78 Median $186.21 Typical High $537.03 | Facility | None | $173.78 | $186.21 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $186.21 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $52.48 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $229.09 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $229.09 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Facility | None | $269.15 | $269.15 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $190.55 | $363.08 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $61.66 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $295.12 | $346.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $245.47 Median $758.58 Typical High $1,778.28 | Facility | None | $245.47 | $758.58 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $154.88 | $229.09 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $63.10 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $162.18 | $363.08 |
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 $83.18 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $37.15 | $40.74 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $154.88 Typical High $169.82 | Professional | CT · Older CT scanner | $141.25 | $154.88 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $147.91 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $147.91 | $162.18 |
Where Delaware sits
The same service costs 5.5 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· 27th of 51
$282
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.