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 $30.20 Median $32.36 Typical High $79.43 | Facility | None | $30.20 | $32.36 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $45.71 | Professional | None (both parts) | $25.12 | $28.84 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $12.30 | Professional | 26 · Professional part | $7.08 | $7.76 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $20.42 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $194.98 | Facility | None | $50.12 | $50.12 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.84 Typical High $51.29 | Professional | None (both parts) | $21.38 | $28.84 | $51.29 |
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 $15.49 Median $20.89 Typical High $37.15 | Professional | TC · Technical part | $15.49 | $20.89 | $37.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $44.67 Median $186.21 Typical High $295.12 | Facility | None | $44.67 | $186.21 | $295.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $20.89 Typical High $97.72 | Professional | 26 · Professional part | $10.00 | $20.89 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.20 Typical High $66.07 | Professional | None (both parts) | $25.12 | $30.20 | $66.07 |
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 $17.78 Median $21.38 Typical High $48.98 | Professional | TC · Technical part | $17.78 | $21.38 | $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 $13.80 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $6.03 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | FX · Film X-ray | $22.39 | $24.55 | $24.55 |
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· 43rd of 51
$30.20
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.