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 $134.90 Median $138.04 Typical High $467.74 | Facility | None | $134.90 | $138.04 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $138.04 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $46.77 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $177.83 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $177.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $208.93 | Facility | None | $194.98 | $194.98 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $147.91 | $309.03 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $57.54 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $229.09 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $549.54 Typical High $1,737.80 | Facility | None | $186.21 | $549.54 | $1,737.80 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $117.49 | $181.97 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $37.15 | $52.48 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $295.12 | Professional | TC · Technical part | $85.11 | $125.89 | $295.12 |
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 $64.57 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $28.18 | $32.36 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | CT · Older CT scanner | $107.15 | $117.49 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $112.20 Typical High $123.03 | Professional | FX · Film X-ray | $100.00 | $112.20 | $123.03 |
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· 26th of 51
$224
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.