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 $208.93 Median $758.58 Typical High $1,949.84 | Facility | None | $208.93 | $758.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $302.00 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $141.25 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $141.25 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $338.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $208.93 | $467.74 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $147.91 | $338.84 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $676.08 Typical High $1,174.90 | Facility | None | $295.12 | $676.08 | $1,174.90 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $208.93 | $208.93 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $194.98 | $288.40 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $69.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $616.60 | Professional | TC · Technical part | $138.04 | $213.80 | $616.60 |
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 $128.82 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $128.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $51.29 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Where Delaware sits
The same service costs 13.5 times more in Vermont 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· 10th of 51
$479
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.