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 $117.49 Median $117.49 Typical High $870.96 | Facility | None | $117.49 | $117.49 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $107.15 | $117.49 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $51.29 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $67.61 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $7,943.28 | Facility | None | $194.98 | $194.98 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $95.50 | $257.04 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $58.88 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $194.98 Typical High $512.86 | Professional | TC · Technical part | $54.95 | $194.98 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $181.97 Typical High $616.60 | Professional | None (both parts) | $107.15 | $181.97 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $56.23 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $549.54 | Professional | TC · Technical part | $61.66 | $117.49 | $549.54 |
4 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 $53.70 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $85.11 | $95.50 | $95.50 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | 59 · Distinct service | $10,000.00 | $10,000.00 | $10,000.00 |
Where Delaware sits
The same service costs 4.9 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· 22nd of 51
$195
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.