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 $27.54 Median $29.51 Typical High $72.44 | Facility | None | $27.54 | $29.51 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $27.54 Typical High $43.65 | Professional | None (both parts) | $24.55 | $27.54 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.08 Typical High $12.02 | Professional | 26 · Professional part | $6.76 | $7.08 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $20.42 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $138.04 | Facility | None | $45.71 | $45.71 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $28.18 Typical High $47.86 | Professional | None (both parts) | $20.42 | $28.18 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $7.76 Typical High $13.18 | Professional | 26 · Professional part | $5.25 | $7.76 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.42 Typical High $35.48 | Professional | TC · Technical part | $14.13 | $20.42 | $35.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $40.74 Median $181.97 Typical High $229.09 | Facility | None | $40.74 | $181.97 | $229.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.84 Typical High $63.10 | Professional | None (both parts) | $22.91 | $28.84 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $16.22 | Professional | 26 · Professional part | $6.03 | $7.94 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $45.71 | Professional | TC · Technical part | $16.60 | $20.42 | $45.71 |
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 $12.30 Median $13.80 Typical High $14.13 | Professional | 52 · Reduced service | $12.30 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.50 Typical High $5.62 | Professional | 53 · Discontinued | $4.90 | $5.50 | $5.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | FX · Film X-ray | $19.95 | $21.88 | $21.88 |
Where Delaware sits
The same service costs 3.7 times more in Alaska 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
$28.18
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.