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 $109.65 Median $288.40 Typical High $870.96 | Facility | None | $109.65 | $288.40 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $109.65 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $60.26 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $4,786.30 | Facility | None | $186.21 | $186.21 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $245.47 Typical High $575.44 | Professional | None (both parts) | $91.20 | $245.47 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $56.23 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $48.98 | $190.55 | $501.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $616.60 | Professional | None (both parts) | $104.71 | $173.78 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $109.65 Typical High $549.54 | Professional | TC · Technical part | $58.88 | $109.65 | $549.54 |
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 $50.12 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $50.12 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $22.39 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $81.28 | $89.13 | $89.13 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | 59 · Distinct service | $9,120.11 | $9,120.11 | $9,120.11 |
Where Delaware sits
The same service costs 4.8 times more in Kansas 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· 22nd of 51
$186
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.