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 $125.89 Median $125.89 Typical High $891.25 | Facility | None | $125.89 | $125.89 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $114.82 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $69.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $4,786.30 | Facility | None | $208.93 | $208.93 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $102.33 | $257.04 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $66.07 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $56.23 | $190.55 | $501.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $616.60 | Professional | None (both parts) | $117.49 | $194.98 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $64.57 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $125.89 Typical High $549.54 | Professional | TC · Technical part | $66.07 | $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 $57.54 Median $63.10 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $25.12 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $102.33 | $102.33 |
Where Delaware sits
The same service costs 5.4 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· 28th 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.