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 $147.91 Median $154.88 Typical High $870.96 | Facility | None | $147.91 | $154.88 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $147.91 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $48.98 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $4,786.30 | Facility | None | $245.47 | $245.47 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $117.49 | $275.42 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $63.10 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $54.95 | $223.87 | $512.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $457.09 | Facility | None | $218.78 | $218.78 | $457.09 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $165.96 | Professional | 26 · Professional part | $144.54 | $151.36 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $616.60 | Professional | None (both parts) | $134.90 | $204.17 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $75.86 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $549.54 | Professional | TC · Technical part | $64.57 | $125.89 | $549.54 |
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 $66.07 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $107.15 | $117.49 | $117.49 |
Where Delaware sits
The same service costs 4.1 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· 27th of 51
$214
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.