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 $39.81 Median $42.66 Typical High $91.20 | Facility | None | $39.81 | $42.66 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $39.81 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | 26 · Professional part | $13.49 | $13.49 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $25.12 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $660.69 | Facility | None | $67.61 | $67.61 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $63.10 Typical High $77.62 | Professional | None (both parts) | $32.36 | $63.10 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.85 Typical High $26.30 | Professional | 26 · Professional part | $10.47 | $15.85 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $19.95 | $41.69 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $54.95 Typical High $91.20 | Professional | None (both parts) | $33.88 | $54.95 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $33.11 | Professional | 26 · Professional part | $12.02 | $16.22 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $20.89 | $38.02 | $66.07 |
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 $18.20 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $18.20 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $7.41 | $7.94 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $29.51 | $31.62 | $31.62 |
Where Delaware sits
The same service costs 3.8 times more in Alaska than in New York. 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· 33rd of 51
$54.95
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.