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 $138.04 Median $141.25 Typical High $371.54 | Facility | None | $138.04 | $141.25 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $109.65 | $117.49 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $30.20 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $79.43 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $316.23 | Facility | None | $213.80 | $213.80 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $95.50 | $123.03 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $35.48 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $87.10 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $467.74 | Facility | None | $194.98 | $245.47 | $467.74 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $100.00 | $125.89 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $40.74 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $85.11 | $199.53 |
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 $63.10 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $28.18 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $100.00 | $112.20 | $112.20 |
Where Delaware sits
The same service costs 3.9 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
$123
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.