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 $33.11 Median $35.48 Typical High $87.10 | Facility | None | $33.11 | $35.48 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $50.12 | Professional | None (both parts) | $27.54 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $7.76 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $23.99 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $138.04 | Facility | None | $54.95 | $54.95 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $23.99 | $30.90 | $56.23 |
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 $16.98 Median $21.38 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $21.38 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $245.47 | Facility | None | $154.88 | $186.21 | $245.47 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $67.61 | Professional | None (both parts) | $26.30 | $32.36 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $6.76 | $8.71 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $48.98 | Professional | TC · Technical part | $19.05 | $22.91 | $48.98 |
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 $14.79 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $14.79 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $5.89 | $6.61 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $23.99 | $26.30 | $26.30 |
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· 42nd of 51
$32.36
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.