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 $158.49 Median $158.49 Typical High $891.25 | Facility | None | $158.49 | $158.49 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $158.49 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $56.23 | $56.23 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $4,786.30 | Facility | None | $263.03 | $263.03 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $128.82 | $295.12 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $70.79 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $234.42 Typical High $524.81 | Professional | TC · Technical part | $57.54 | $234.42 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $17,782.79 | Facility | None | $371.54 | $549.54 | $17,782.79 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $158.49 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $158.49 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $616.60 | Professional | None (both parts) | $144.54 | $229.09 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $83.18 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $128.82 Typical High $549.54 | Professional | TC · Technical part | $66.07 | $128.82 | $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 $70.79 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $28.84 | $31.62 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $114.82 | $125.89 | $125.89 |
Where Delaware sits
The same service costs 5.1 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· 25th of 51
$245
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.