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 $97.72 Median $97.72 Typical High $257.04 | Facility | None | $97.72 | $97.72 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $81.28 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $22.91 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $61.66 | $63.10 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $316.23 | Facility | None | $151.36 | $151.36 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $66.07 | $85.11 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $25.12 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $63.10 | $120.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $467.74 Typical High $562.34 | Facility | None | $138.04 | $467.74 | $562.34 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $190.55 Typical High $199.53 | Professional | 26 · Professional part | $26.30 | $190.55 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $190.55 | Professional | None (both parts) | $70.79 | $87.10 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $20.42 | $26.92 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $61.66 | $144.54 |
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 $43.65 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $43.65 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $19.50 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $70.79 | $79.43 | $79.43 |
Where Delaware sits
The same service costs 3.8 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· 47th of 51
$87.10
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.