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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $117.49 | Professional | None (both parts) | $104.71 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $39.81 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $69.18 | $74.13 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $91.20 | $134.90 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $43.65 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $89.13 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $107.15 | $190.55 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $38.02 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $158.49 | $239.88 |
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 $52.48 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $52.48 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $22.91 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $87.10 | $91.20 | $95.50 |
Where Delaware sits
The same service costs 5.2 times more in North Dakota 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· 43rd of 51
$126
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.