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 $234.42 Median $245.47 Typical High $645.65 | Facility | None | $234.42 | $245.47 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $245.47 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $57.54 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $251.19 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $363.08 | Facility | None | $316.23 | $316.23 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $223.87 | $380.19 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $295.12 | $354.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $3,801.89 | Facility | None | $331.13 | $446.68 | $3,801.89 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $1,202.26 | Professional | 26 · Professional part | $58.88 | $75.86 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $194.98 | $288.40 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $64.57 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $416.87 | Professional | TC · Technical part | $151.36 | $218.78 | $416.87 |
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 $109.65 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $48.98 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | CT · Older CT scanner | $181.97 | $208.93 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $194.98 Typical High $199.53 | Professional | FX · Film X-ray | $173.78 | $194.98 | $199.53 |
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· 35th of 51
$302
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.