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 $446.68 Median $446.68 Typical High $2,818.38 | Facility | None | $446.68 | $446.68 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,818.38 Typical High $2,884.03 | Professional | None (both parts) | $1,737.80 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $33.11 | $37.15 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,754.23 Typical High $2,884.03 | Professional | TC · Technical part | $1,737.80 | $2,754.23 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $2,818.38 | Facility | None | $398.11 | $398.11 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $190.55 | $295.12 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $251.19 | $389.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 26 · Professional part | $295.12 | $295.12 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $1,380.38 Typical High $3,090.30 | Professional | None (both parts) | $257.04 | $1,380.38 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $41.69 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $1,318.26 Typical High $3,090.30 | Professional | TC · Technical part | $218.78 | $1,318.26 | $3,090.30 |
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 $1,148.15 Median $1,380.38 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,148.15 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $562.34 Typical High $575.44 | Professional | 53 · Discontinued | $467.74 | $562.34 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,089.30 Median $2,238.72 Typical High $2,238.72 | Professional | FX · Film X-ray | $2,089.30 | $2,238.72 | $2,238.72 |
Where Delaware sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 44th of 51
$347
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.