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 $104.71 Median $123.03 Typical High $275.42 | Facility | None | $104.71 | $123.03 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $81.28 | $81.28 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $14.13 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $67.61 | $67.61 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $398.11 | Facility | None | $165.96 | $165.96 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $70.79 | $93.33 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.98 Typical High $26.92 | Professional | 26 · Professional part | $10.47 | $16.98 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $75.86 | $138.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $173.78 Median $660.69 Typical High $660.69 | Facility | None | $173.78 | $660.69 | $660.69 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $190.55 Typical High $199.53 | Professional | 26 · Professional part | $26.92 | $190.55 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $77.62 | $95.50 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $34.67 | Professional | 26 · Professional part | $12.59 | $16.60 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $77.62 | $173.78 |
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 $43.65 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $20.89 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $83.18 | $83.18 |
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· 46th of 51
$93.33
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.