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 $426.58 Median $426.58 Typical High $1,949.84 | Facility | None | $426.58 | $426.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $416.87 | $426.58 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | TC · Technical part | $302.00 | $302.00 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $660.69 | Facility | None | $524.81 | $524.81 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $660.69 Typical High $776.25 | Professional | None (both parts) | $338.84 | $660.69 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $81.28 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $562.34 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $562.34 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $891.25 | Professional | None (both parts) | $323.59 | $457.09 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $251.19 | $363.08 | $724.44 |
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 $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Where Delaware sits
The same service costs 5.4 times more in Wyoming 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· 28th of 51
$513
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.