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 $28.18 Median $28.18 Typical High $63.10 | Facility | None | $28.18 | $28.18 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.18 Typical High $28.84 | Professional | None (both parts) | $25.70 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $9.77 | Professional | 26 · Professional part | $8.71 | $9.77 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.20 Typical High $19.05 | Professional | TC · Technical part | $16.98 | $18.20 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $19.95 | $31.62 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $7.08 | $10.23 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $21.38 Typical High $33.11 | Professional | TC · Technical part | $13.80 | $21.38 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $100.00 | Professional | None (both parts) | $35.48 | $50.12 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $22.91 | Professional | 26 · Professional part | $7.76 | $10.72 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $26.92 | $38.90 | $81.28 |
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 $12.88 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $12.88 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.62 Typical High $5.75 | Professional | 53 · Discontinued | $5.13 | $5.62 | $5.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | FX · Film X-ray | $20.42 | $22.39 | $22.39 |
Where Delaware sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 45th of 51
$31.62
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.