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 $104.71 Median $104.71 Typical High $123.03 | Facility | None | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $95.50 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $28.84 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $75.86 | Professional | TC · Technical part | $67.61 | $74.13 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,096.48 | Facility | None | $169.82 | $169.82 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $74.13 | $114.82 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $35.48 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $50.12 | $79.43 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $257.04 | Professional | None (both parts) | $81.28 | $107.15 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $26.30 | $36.31 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $81.28 Typical High $190.55 | Professional | TC · Technical part | $41.69 | $81.28 | $190.55 |
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 $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $20.89 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $77.62 | $85.11 | $85.11 |
Where Delaware sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 40th of 51
$110
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.