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 $151.36 Median $154.88 Typical High $407.38 | Facility | None | $151.36 | $154.88 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $109.65 | $109.65 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $30.20 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $79.43 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $316.23 | Facility | None | $239.88 | $239.88 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $100.00 | $138.04 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $37.15 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $104.71 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $213.80 Median $478.63 Typical High $501.19 | Facility | None | $213.80 | $478.63 | $501.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 26 · Professional part | $288.40 | $288.40 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $114.82 | $141.25 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $44.67 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $74.13 | $102.33 | $218.78 |
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 $69.18 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $30.90 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $109.65 | $123.03 | $123.03 |
Where Delaware sits
The same service costs 4.3 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· 46th of 51
$138
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.