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 $186.21 | Facility | None | $128.82 | $128.82 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $128.82 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $93.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $2,818.38 | Facility | None | $218.78 | $218.78 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $93.33 | $141.25 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $44.67 | $54.95 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $51.29 | $89.13 | $128.82 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $281.84 | Professional | None (both parts) | $104.71 | $128.82 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $53.70 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $169.82 | Professional | TC · Technical part | $57.54 | $74.13 | $169.82 |
4 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 $58.88 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $26.30 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $93.33 | $104.71 | $104.71 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 59 · Distinct service | $389.05 | $389.05 | $389.05 |
Where Delaware sits
The same service costs 5.2 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· 35th of 51
$138
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.