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 $213.80 Median $549.54 Typical High $562.34 | Facility | None | $213.80 | $549.54 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $213.80 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $151.36 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $316.23 | Facility | None | $309.03 | $309.03 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $229.09 | $426.58 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $60.26 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $363.08 Typical High $398.11 | Professional | TC · Technical part | $151.36 | $363.08 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $2,951.21 | Facility | None | $281.84 | $281.84 | $2,951.21 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $57.54 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $177.83 | $269.15 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $61.66 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $141.25 | $199.53 | $436.52 |
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 $95.50 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $42.66 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $181.97 Typical High $199.53 | Professional | CT · Older CT scanner | $158.49 | $181.97 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | FX · Film X-ray | $147.91 | $169.82 | $186.21 |
Where Delaware sits
The same service costs 5.1 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· 23rd of 51
$355
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.