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 $48.98 Median $51.29 Typical High $104.71 | Facility | None | $48.98 | $51.29 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $43.65 | $43.65 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $13.49 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $30.20 | $30.20 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $194.98 | Facility | None | $79.43 | $79.43 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $36.31 | $48.98 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $10.47 | $15.85 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $33.88 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $85.11 Median $218.78 Typical High $371.54 | Facility | None | $85.11 | $218.78 | $371.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $109.65 | Professional | None (both parts) | $39.81 | $50.12 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $32.36 | Professional | 26 · Professional part | $12.02 | $16.22 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $74.13 | Professional | TC · Technical part | $27.54 | $32.36 | $74.13 |
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 $21.88 Median $24.55 Typical High $25.12 | Professional | 52 · Reduced service | $21.88 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $10.00 | Professional | 53 · Discontinued | $8.71 | $9.77 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $35.48 | $38.90 | $38.90 |
Where Delaware sits
The same service costs 4.5 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· 41st of 51
$48.98
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.