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 $213.80 Median $213.80 Typical High $645.65 | Facility | None | $213.80 | $213.80 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $194.98 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $61.66 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $134.90 | $154.88 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $223.87 | $446.68 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $363.08 Typical High $436.52 | Professional | TC · Technical part | $151.36 | $363.08 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $177.83 | $269.15 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $64.57 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $199.53 | $457.09 |
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 $97.72 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $43.65 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $181.97 Typical High $199.53 | Professional | CT · Older CT scanner | $162.18 | $181.97 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $173.78 Typical High $190.55 | Professional | FX · Film X-ray | $151.36 | $173.78 | $190.55 |
Where Delaware sits
The same service costs 5.2 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· 31st of 51
$302
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.