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 $35.48 Median $38.90 Typical High $93.33 | Facility | None | $35.48 | $38.90 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $28.84 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $8.13 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $25.70 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $138.04 | Facility | None | $60.26 | $60.26 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $25.12 | $32.36 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $5.89 | $8.51 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $18.20 | $23.44 | $45.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $158.49 Typical High $407.38 | Facility | None | $53.70 | $158.49 | $407.38 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $48.98 | Professional | None (both parts) | $34.67 | $34.67 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $72.44 | Professional | None (both parts) | $28.18 | $33.88 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $6.61 | $9.12 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $53.70 | Professional | TC · Technical part | $20.42 | $25.12 | $53.70 |
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 $16.22 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $16.22 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $7.08 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $26.30 | $28.84 | $28.84 |
Where Delaware sits
The same service costs 13.5 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
$34.67
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.