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 $63.10 Median $63.10 Typical High $257.04 | Facility | None | $63.10 | $63.10 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $61.66 | $63.10 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $35.48 | Professional | 26 · Professional part | $21.88 | $21.88 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $57.54 | $102.33 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $35.48 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $64.57 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $125.89 | $144.54 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $26.30 | $29.51 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $114.82 | $162.18 |
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 $30.90 Median $31.62 Typical High $38.02 | Professional | 52 · Reduced service | $30.90 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $12.59 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | FX · Film X-ray | $50.12 | $50.12 | $52.48 |
Where Delaware sits
The same service costs 6.6 times more in Nebraska 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· 39th of 51
$107
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.