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 $1,122.02 Typical High $1,949.84 | Facility | None | $426.58 | $1,122.02 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $426.58 | $478.63 | $630.96 |
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 $489.78 Median $489.78 Typical High $537.03 | Facility | None | $489.78 | $489.78 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $346.74 | $616.60 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $524.81 Typical High $588.84 | Professional | TC · Technical part | $263.03 | $524.81 | $588.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,230.27 | Facility | None | $489.78 | $489.78 | $1,230.27 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $912.01 | Professional | 26 · Professional part | $107.15 | $107.15 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $275.42 | $436.52 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $91.20 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $213.80 | $346.74 | $676.08 |
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 5.6 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· 35th 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.