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 $128.82 Median $128.82 Typical High $870.96 | Facility | None | $128.82 | $128.82 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $128.82 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | 26 · Professional part | $48.98 | $48.98 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $2,818.38 | Facility | None | $213.80 | $213.80 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $107.15 | $257.04 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $56.23 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $204.17 Typical High $512.86 | Professional | TC · Technical part | $66.07 | $204.17 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $616.60 | Professional | None (both parts) | $120.23 | $194.98 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $141.25 Typical High $549.54 | Professional | TC · Technical part | $74.13 | $141.25 | $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 $60.26 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $104.71 | $104.71 |
Where Delaware sits
The same service costs 4.3 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· 26th of 51
$204
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.