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 $316.23 Typical High $812.83 | Facility | None | $275.42 | $316.23 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $275.42 | $389.05 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $83.18 | $123.03 |
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 $416.87 | Facility | None | $316.23 | $316.23 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $691.83 | Professional | None (both parts) | $316.23 | $537.03 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $93.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $398.11 | $562.34 |
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $2,187.76 Typical High $3,019.95 | Facility | None | $380.19 | $2,187.76 | $3,019.95 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $269.15 | $380.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $67.61 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $190.55 | $281.84 | $575.44 |
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 $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $54.95 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $229.09 Typical High $251.19 | Professional | CT · Older CT scanner | $204.17 | $229.09 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $190.55 | $218.78 | $239.88 |
Where Delaware sits
The same service costs 6.0 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· 32nd 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.