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 $346.74 Median $426.58 Typical High $1,949.84 | Facility | None | $346.74 | $426.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $616.60 | Professional | None (both parts) | $426.58 | $478.63 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $125.89 | $141.25 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $302.00 | $338.84 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $660.69 | Facility | None | $537.03 | $537.03 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $891.25 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $891.25 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $114.82 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $691.83 Typical High $1,096.48 | Professional | TC · Technical part | $245.47 | $691.83 | $1,096.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $1,819.70 | Facility | None | $489.78 | $1,023.29 | $1,819.70 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $346.74 | $426.58 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $1,288.25 | Professional | None (both parts) | $323.59 | $467.74 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $229.09 | Professional | 26 · Professional part | $83.18 | $112.20 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $1,148.15 | Professional | TC · Technical part | $234.42 | $371.54 | $1,148.15 |
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 $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $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 5.8 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· 38th 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.