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 $138.04 Median $138.04 Typical High $870.96 | Facility | None | $138.04 | $138.04 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $138.04 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $158.49 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $7,943.28 | Facility | None | $229.09 | $229.09 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $114.82 | $257.04 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $57.54 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $74.13 | $223.87 | $512.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $616.60 | Professional | None (both parts) | $125.89 | $204.17 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $41.69 | $56.23 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $549.54 | Professional | TC · Technical part | $79.43 | $151.36 | $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 $63.10 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $63.10 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $27.54 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $102.33 | $109.65 | $109.65 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 59 · Distinct service | $436.52 | $436.52 | $436.52 |
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· 30th of 51
$209
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.