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 $107.15 Median $123.03 Typical High $281.84 | Facility | None | $107.15 | $123.03 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $107.15 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $30.20 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $83.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $1,096.48 | Facility | None | $173.78 | $173.78 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $75.86 | $112.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $38.02 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $43.65 | $75.86 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.12 Median $7,585.78 Typical High $7,943.28 | Facility | None | $25.12 | $7,585.78 | $7,943.28 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $346.74 | Professional | 26 · Professional part | $87.10 | $87.10 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $81.28 | $107.15 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $27.54 | $38.90 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $41.69 | $69.18 | $162.18 |
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 $47.86 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $21.38 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $77.62 | $87.10 | $87.10 |
Where Delaware sits
The same service costs 4.2 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· 36th of 51
$112
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.