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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $478.63 Typical High $489.78 | Professional | None (both parts) | $446.68 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $21.88 | Professional | 26 · Professional part | $19.50 | $21.38 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $467.74 Typical High $489.78 | Professional | TC · Technical part | $446.68 | $467.74 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $831.76 | Facility | None | $87.10 | $87.10 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $43.65 | $79.43 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $15.85 | $23.44 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $26.92 | $51.29 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $60.26 | $416.87 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $48.98 | Professional | 26 · Professional part | $18.20 | $23.99 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $389.05 Typical High $776.25 | Professional | TC · Technical part | $41.69 | $389.05 | $776.25 |
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 $223.87 Median $239.88 Typical High $245.47 | Professional | 52 · Reduced service | $223.87 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $89.13 | $95.50 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $380.19 Typical High $398.11 | Professional | FX · Film X-ray | $363.08 | $380.19 | $398.11 |
Where Delaware sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 47th of 51
$83.18
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.