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 $109.65 Median $109.65 Typical High $549.54 | Facility | None | $109.65 | $109.65 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $97.72 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $33.88 | $38.90 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $70.79 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $2,951.21 | Facility | None | $194.98 | $194.98 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $87.10 | $190.55 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $40.74 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $128.82 Typical High $309.03 | Professional | TC · Technical part | $54.95 | $128.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $389.05 | Professional | None (both parts) | $89.13 | $128.82 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $43.65 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $338.84 | Professional | TC · Technical part | $56.23 | $89.13 | $338.84 |
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 $48.98 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $48.98 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $21.88 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $87.10 | $87.10 |
Where Delaware sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 30th of 51
$141
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.