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 $131.83 Median $131.83 Typical High $229.09 | Facility | None | $131.83 | $131.83 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $123.03 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $34.67 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $87.10 | $95.50 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $107.15 | $151.36 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $38.02 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $109.65 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $112.20 | $128.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $33.11 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $95.50 | $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 $61.66 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.30 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $104.71 Typical High $109.65 | Professional | FX · Film X-ray | $97.72 | $104.71 | $109.65 |
Where Delaware sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 43rd of 51
$132
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.