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 $275.42 Median $275.42 Typical High $724.44 | Facility | None | $275.42 | $275.42 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $275.42 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $309.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $426.58 | Facility | None | $316.23 | $316.23 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $331.13 | $562.34 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $95.50 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $457.09 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $457.09 | $549.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,380.38 Typical High $3,388.44 | Facility | None | $489.78 | $1,380.38 | $3,388.44 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $89.13 | $89.13 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $275.42 | $416.87 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $70.79 | $95.50 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $302.00 | $602.56 |
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 $123.03 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $50.12 | $54.95 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $218.78 | $239.88 |
Where Delaware sits
The same service costs 6.2 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· 34th of 51
$389
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.