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 $33.11 Median $35.48 Typical High $87.10 | Facility | None | $33.11 | $35.48 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $51.29 | Professional | None (both parts) | $27.54 | $32.36 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $7.94 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $23.44 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $138.04 | Facility | None | $54.95 | $54.95 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $24.55 | $31.62 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $5.75 | $8.51 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $17.38 | $22.39 | $43.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $173.78 Typical High $380.19 | Facility | None | $47.86 | $173.78 | $380.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | None (both parts) | $31.62 | $31.62 | $40.74 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $7.41 | $74.13 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $27.54 | $33.11 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.91 Typical High $17.78 | Professional | 26 · Professional part | $6.61 | $8.91 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $24.55 | $51.29 |
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 $14.79 Median $16.60 Typical High $17.38 | Professional | 52 · Reduced service | $14.79 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $5.89 | $6.61 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | FX · Film X-ray | $24.55 | $26.92 | $26.92 |
Where Delaware sits
The same service costs 12.9 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
$33.11
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.