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 $114.82 Median $114.82 Typical High $346.74 | Facility | None | $114.82 | $114.82 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $107.15 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $42.66 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $66.07 | $72.44 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,174.90 | Facility | None | $169.82 | $169.82 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $89.13 | $173.78 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $43.65 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $53.70 | $107.15 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $93.33 | $131.83 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $46.77 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $53.70 | $83.18 | $186.21 |
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 $53.70 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $53.70 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $22.91 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $93.33 Typical High $95.50 | Professional | FX · Film X-ray | $85.11 | $93.33 | $95.50 |
Where Delaware sits
The same service costs 4.6 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· 36th of 51
$129
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.