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 $169.82 Median $181.97 Typical High $467.74 | Facility | None | $169.82 | $181.97 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $309.03 | Professional | None (both parts) | $181.97 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $51.29 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $234.42 | Professional | TC · Technical part | $123.03 | $223.87 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $186.21 | $338.84 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $275.42 | $316.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $467.74 Median $891.25 Typical High $2,454.71 | Facility | None | $467.74 | $891.25 | $2,454.71 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $151.36 | $223.87 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $58.88 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $158.49 | $338.84 |
4 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 $81.28 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $36.31 | $39.81 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $154.88 Typical High $169.82 | Professional | CT · Older CT scanner | $138.04 | $154.88 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | FX · Film X-ray | $128.82 | $144.54 | $158.49 |
Where Delaware sits
The same service costs 5.4 times more in Alaska 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· 24th of 51
$275
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.