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 $117.49 Median $117.49 Typical High $870.96 | Facility | None | $117.49 | $117.49 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $117.49 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $51.29 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $4,786.30 | Facility | None | $190.55 | $190.55 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $251.19 Typical High $575.44 | Professional | None (both parts) | $95.50 | $251.19 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $56.23 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $56.23 | $190.55 | $501.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $616.60 | Professional | None (both parts) | $109.65 | $181.97 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $56.23 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $120.23 Typical High $549.54 | Professional | TC · Technical part | $63.10 | $120.23 | $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 $53.70 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $23.44 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $85.11 | $93.33 | $93.33 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 59 · Distinct service | $371.54 | $371.54 | $371.54 |
Where Delaware sits
The same service costs 4.9 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· 22nd of 51
$191
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.