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 $20.89 Median $22.39 Typical High $54.95 | Facility | None | $20.89 | $22.39 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $21.38 Typical High $33.88 | Professional | None (both parts) | $20.89 | $21.38 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.76 Typical High $11.75 | Professional | 26 · Professional part | $6.46 | $6.76 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.79 Typical High $20.89 | Professional | TC · Technical part | $13.80 | $14.79 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $138.04 | Facility | None | $34.67 | $34.67 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $25.12 Typical High $38.90 | Professional | None (both parts) | $16.22 | $25.12 | $38.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $7.41 Typical High $13.18 | Professional | 26 · Professional part | $5.25 | $7.41 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $17.78 Typical High $25.70 | Professional | TC · Technical part | $11.48 | $17.78 | $25.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $91.20 Median $234.42 Typical High $269.15 | Facility | None | $91.20 | $234.42 | $269.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $74.13 | Professional | 26 · Professional part | $6.31 | $9.33 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.99 Typical High $48.98 | Professional | None (both parts) | $17.78 | $23.99 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $7.94 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.85 Typical High $30.90 | Professional | TC · Technical part | $11.48 | $15.85 | $30.90 |
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 $9.55 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $9.55 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $3.89 | $4.17 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | FX · Film X-ray | $15.49 | $16.60 | $16.60 |
Where Delaware sits
The same service costs 3.7 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· 45th of 51
$21.88
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.