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 $234.42 Median $239.88 Typical High $630.96 | Facility | None | $234.42 | $239.88 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $239.88 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $50.12 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $186.21 | $218.78 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $354.81 | Facility | None | $316.23 | $316.23 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $204.17 | $346.74 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $288.40 | $346.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $1,698.24 | Facility | None | $331.13 | $512.86 | $1,698.24 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | None (both parts) | $295.12 | $295.12 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $190.55 | $269.15 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $58.88 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $147.91 | $213.80 | $416.87 |
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 $107.15 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $47.86 | $52.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $204.17 Typical High $208.93 | Professional | CT · Older CT scanner | $177.83 | $204.17 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $190.55 Typical High $194.98 | Professional | FX · Film X-ray | $169.82 | $190.55 | $194.98 |
Where Delaware sits
The same service costs 4.4 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· 43rd of 51
$269
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.