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 $144.54 Median $144.54 Typical High $229.09 | Facility | None | $144.54 | $144.54 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $239.88 | Professional | None (both parts) | $213.80 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $28.84 | Professional | 26 · Professional part | $25.70 | $28.18 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $229.09 | Professional | TC · Technical part | $204.17 | $223.87 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $398.11 | Facility | None | $128.82 | $128.82 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $60.26 | $91.20 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $21.38 | $30.90 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $95.50 | Professional | TC · Technical part | $38.90 | $60.26 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $79.43 | $213.80 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $32.36 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $53.70 | $190.55 | $371.54 |
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 $107.15 Median $114.82 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $46.77 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $169.82 | $186.21 | $186.21 |
Where Delaware sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 47th of 51
$110
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.