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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | None (both parts) | $74.13 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $25.12 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | TC · Technical part | $48.98 | $52.48 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $58.88 | $91.20 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $30.20 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $61.66 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $123.03 | $169.82 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $31.62 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $138.04 | $269.15 |
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 $37.15 Median $40.74 Typical High $41.69 | Professional | 52 · Reduced service | $37.15 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $16.22 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | FX · Film X-ray | $58.88 | $64.57 | $64.57 |
Where Delaware sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$95.50
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.