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 $190.55 Median $194.98 Typical High $512.86 | Facility | None | $190.55 | $194.98 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $194.98 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $77.62 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $151.36 | Professional | TC · Technical part | $112.20 | $120.23 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Facility | None | $295.12 | $295.12 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $158.49 | $251.19 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $97.72 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $154.88 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $83.18 Median $676.08 Typical High $2,511.89 | Facility | None | $83.18 | $676.08 | $2,511.89 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $870.96 | Professional | 26 · Professional part | $79.43 | $102.33 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $147.91 | $213.80 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $87.10 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $125.89 | $257.04 |
2 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 CT · Older CT scanner Typical Low $147.91 Median $165.96 Typical High $181.97 | Professional | CT · Older CT scanner | $147.91 | $165.96 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $158.49 Typical High $173.78 | Professional | FX · Film X-ray | $138.04 | $158.49 | $173.78 |
Where Delaware sits
The same service costs 18.2 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· 41st of 51
$214
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.