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 $323.59 Median $426.58 Typical High $1,949.84 | Facility | None | $323.59 | $426.58 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $426.58 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $120.23 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $380.19 | Professional | TC · Technical part | $302.00 | $338.84 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,174.90 | Facility | None | $501.19 | $501.19 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $645.65 Typical High $776.25 | Professional | None (both parts) | $316.23 | $645.65 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $81.28 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $524.81 Typical High $645.65 | Professional | TC · Technical part | $251.19 | $524.81 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $446.68 Median $831.76 Typical High $2,187.76 | Facility | None | $446.68 | $831.76 | $2,187.76 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $316.23 | $323.59 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $302.00 | $426.58 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $234.42 | $331.13 | $676.08 |
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 $194.98 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $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 5.4 times more in Wyoming than in Texas. 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· 32nd 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.