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 $45.71 Median $50.12 Typical High $120.23 | Facility | None | $45.71 | $50.12 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $38.02 | $42.66 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $10.47 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $32.36 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $138.04 | Facility | None | $77.62 | $77.62 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $32.36 | $45.71 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $7.76 | $12.59 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $33.88 | $58.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $67.61 Median $162.18 Typical High $245.47 | Facility | None | $67.61 | $162.18 | $245.47 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $102.33 | Professional | None (both parts) | $37.15 | $46.77 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $25.70 | Professional | 26 · Professional part | $8.71 | $11.48 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $77.62 | Professional | TC · Technical part | $28.18 | $34.67 | $77.62 |
1 more rate 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 FX · Film X-ray Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | FX · Film X-ray | $33.11 | $36.31 | $36.31 |
Where Delaware sits
The same service costs 11.7 times more in Vermont 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· 41st of 51
$45.71
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.