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 $154.88 Median $154.88 Typical High $870.96 | Facility | None | $154.88 | $154.88 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $190.55 | Professional | None (both parts) | $144.54 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $48.98 | $52.48 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $95.50 | $102.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $4,786.30 | Facility | None | $269.15 | $269.15 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $128.82 | $288.40 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $60.26 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $229.09 Typical High $524.81 | Professional | TC · Technical part | $87.10 | $229.09 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $213.80 Typical High $616.60 | Professional | None (both parts) | $138.04 | $213.80 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $128.82 | Professional | 26 · Professional part | $44.67 | $57.54 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $549.54 | Professional | TC · Technical part | $91.20 | $165.96 | $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 $72.44 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $30.90 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $114.82 | $123.03 | $123.03 |
Where Delaware sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 29th of 51
$229
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.