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 $31.62 Median $34.67 Typical High $83.18 | Facility | None | $31.62 | $34.67 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $29.51 Typical High $46.77 | Professional | None (both parts) | $25.70 | $29.51 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $12.02 | Professional | 26 · Professional part | $7.08 | $7.76 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $21.88 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $138.04 | Facility | None | $52.48 | $52.48 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.20 Typical High $53.70 | Professional | None (both parts) | $22.91 | $30.20 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.76 Typical High $14.45 | Professional | 26 · Professional part | $5.75 | $7.76 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $21.88 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $229.09 Typical High $245.47 | Facility | None | $53.70 | $229.09 | $245.47 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $69.18 | Professional | None (both parts) | $25.70 | $31.62 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $8.71 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $51.29 | Professional | TC · Technical part | $19.05 | $22.39 | $51.29 |
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 $14.13 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $25.12 | $25.12 |
Where Delaware sits
The same service costs 6.0 times more in Vermont 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· 43rd of 51
$30.90
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.