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 $33.88 Median $34.67 Typical High $89.13 | Facility | None | $33.88 | $34.67 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $28.84 | $33.11 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.76 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $7.76 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $21.38 | $24.55 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $138.04 | Facility | None | $53.70 | $53.70 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $23.99 | $32.36 | $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 $17.78 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $23.44 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $208.93 Typical High $426.58 | Facility | None | $47.86 | $208.93 | $426.58 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $323.59 | Professional | None (both parts) | $31.62 | $31.62 | $323.59 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $10.00 | $79.43 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $26.92 | $33.11 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.71 Typical High $17.78 | Professional | 26 · Professional part | $6.46 | $8.71 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $24.55 | $53.70 |
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 $15.14 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.76 | $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 15.1 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· 39th 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.