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 $147.91 Median $208.93 Typical High $380.19 | Facility | None | $147.91 | $208.93 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $120.23 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $25.12 | $25.12 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $95.50 | $95.50 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $660.69 | Facility | None | $186.21 | $186.21 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $87.10 | $131.83 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $29.51 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $104.71 | $181.97 |
Highmark BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $100.00 | $138.04 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $30.20 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $239.88 | Professional | TC · Technical part | $77.62 | $109.65 | $239.88 |
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 $61.66 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $97.72 | $117.49 | $117.49 |
Where Delaware sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 39th of 51
$132
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.