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 $257.04 Median $257.04 Typical High $338.84 | Facility | None | $257.04 | $257.04 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $190.55 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $95.50 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $102.33 | $158.49 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $316.23 | Facility | None | $107.15 | $151.36 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $208.93 | $213.80 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $100.00 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $128.82 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $162.18 | $208.93 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $75.86 | $89.13 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $85.11 | $120.23 | $158.49 |
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 $112.20 Median $128.82 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $51.29 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $181.97 | $204.17 | $204.17 |
Where Delaware sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 40th of 51
$229
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.