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 $147.91 Typical High $870.96 | Facility | None | $147.91 | $147.91 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $151.36 | Professional | None (both parts) | $134.90 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $47.86 | $51.29 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $100.00 | Professional | TC · Technical part | $89.13 | $95.50 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $2,818.38 | Facility | None | $239.88 | $239.88 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $123.03 | $275.42 | $588.84 |
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 $81.28 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $81.28 | $223.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $616.60 | Professional | None (both parts) | $134.90 | $208.93 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $58.88 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $549.54 | Professional | TC · Technical part | $87.10 | $162.18 | $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 $67.61 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $67.61 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $109.65 | $117.49 | $117.49 |
Where Delaware sits
The same service costs 4.4 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· 30th 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.