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 $245.47 Median $245.47 Typical High $562.34 | Facility | None | $245.47 | $245.47 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $245.47 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Facility | None | $316.23 | $316.23 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $239.88 | $426.58 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $60.26 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $363.08 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $363.08 | $407.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $602.56 | Facility | None | $346.74 | $346.74 | $602.56 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $416.87 | Professional | 26 · Professional part | $57.54 | $57.54 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $218.78 | $316.23 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $251.19 | $501.19 |
4 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 $109.65 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $48.98 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $208.93 Typical High $229.09 | Professional | CT · Older CT scanner | $181.97 | $208.93 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $194.98 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $194.98 | $213.80 |
Where Delaware sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 29th of 51
$347
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.