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 $426.58 Median $1,000.00 Typical High $1,949.84 | Facility | None | $426.58 | $1,000.00 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $549.54 | Professional | None (both parts) | $426.58 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $302.00 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $660.69 | Facility | None | $436.52 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $281.84 | $602.56 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $95.50 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $467.74 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $467.74 | $676.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $831.76 | Professional | None (both parts) | $263.03 | $371.54 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $199.53 | Professional | 26 · Professional part | $67.61 | $91.20 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $707.95 | Professional | TC · Technical part | $190.55 | $295.12 | $707.95 |
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 $173.78 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Where Delaware sits
The same service costs 5.9 times more in Wyoming 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· 23rd of 51
$479
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.