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 $134.90 Median $138.04 Typical High $354.81 | Facility | None | $134.90 | $138.04 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $97.72 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | 26 · Professional part | $23.99 | $23.99 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $74.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $660.69 | Facility | None | $208.93 | $208.93 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $87.10 | $104.71 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $19.50 | $26.92 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $83.18 | $165.96 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $380.19 | Facility | TC · Technical part | $186.21 | $186.21 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $87.10 | $114.82 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $28.84 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $61.66 | $89.13 | $177.83 |
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 $57.54 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $26.92 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $95.50 | $107.15 | $107.15 |
Where Delaware sits
The same service costs 4.2 times more in Alaska than in New York. 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· 46th of 51
$107
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.