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 $199.53 Median $891.25 Typical High $1,949.84 | Facility | None | $199.53 | $891.25 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $323.59 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $141.25 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $338.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $467.74 Typical High $676.08 | Professional | None (both parts) | $194.98 | $467.74 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $50.12 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $128.82 | $331.13 | $562.34 |
Highmark BCBS Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $812.83 | Facility | None | $275.42 | $426.58 | $812.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $194.98 | $194.98 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $691.83 | Professional | None (both parts) | $181.97 | $281.84 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $75.86 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $602.56 | Professional | TC · Technical part | $123.03 | $190.55 | $602.56 |
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 $125.89 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $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 24.0 times more in Vermont 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· 6th 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.