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 $102.33 Median $107.15 Typical High $281.84 | Facility | None | $102.33 | $107.15 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $144.54 | Professional | None (both parts) | $66.07 | $74.13 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $25.12 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $42.66 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $158.49 | Facility | None | $138.04 | $138.04 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $74.13 | $100.00 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $30.90 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $69.18 | $138.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $229.09 | Facility | None | $128.82 | $199.53 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $223.87 | Professional | None (both parts) | $81.28 | $102.33 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $61.66 | Professional | 26 · Professional part | $21.38 | $28.18 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $72.44 | $158.49 |
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 CT · Older CT scanner Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | CT · Older CT scanner | $79.43 | $91.20 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $74.13 | $85.11 | $93.33 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service + GA · Liability notice issued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 59 · Distinct service + GA · Liability notice issued | $134.90 | $134.90 | $134.90 |
Where Delaware sits
The same service costs 4.2 times more in Alaska than in Utah. 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
$100
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.