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 $478.63 Median $478.63 Typical High $2,818.38 | Facility | None | $478.63 | $478.63 | $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 $46.77 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $46.77 | $50.12 | $63.10 |
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 $407.38 Median $407.38 Typical High $4,786.30 | Facility | None | $407.38 | $407.38 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $199.53 | $316.23 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $57.54 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $257.04 | $380.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $109.65 | $109.65 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $2,290.87 Typical High $4,570.88 | Professional | None (both parts) | $269.15 | $2,290.87 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $2,238.72 Typical High $4,466.84 | Professional | TC · Technical part | $223.87 | $2,238.72 | $4,466.84 |
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· 42nd of 51
$372
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.