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 $100.00 Median $100.00 Typical High $208.93 | Facility | None | $100.00 | $100.00 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $93.33 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $28.84 | Professional | 26 · Professional part | $22.39 | $25.12 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $69.18 | $75.86 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $83.18 | $131.83 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $26.92 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $97.72 | $123.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $436.52 | Facility | None | $426.58 | $426.58 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $102.33 | $117.49 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $23.44 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $91.20 | $131.83 |
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 $46.77 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $81.28 Typical High $83.18 | Professional | FX · Film X-ray | $77.62 | $81.28 | $83.18 |
Where Delaware sits
The same service costs 4.0 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· 42nd of 51
$105
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.