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 $134.90 Median $134.90 Typical High $891.25 | Facility | None | $134.90 | $134.90 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $123.03 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $63.10 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $72.44 | $93.33 |
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 $109.65 Median $263.03 Typical High $588.84 | Professional | None (both parts) | $109.65 | $263.03 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $72.44 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $194.98 Typical High $501.19 | Professional | TC · Technical part | $58.88 | $194.98 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $630.96 | Professional | None (both parts) | $123.03 | $199.53 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $151.36 | Professional | 26 · Professional part | $52.48 | $70.79 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $549.54 | Professional | TC · Technical part | $67.61 | $128.82 | $549.54 |
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 $61.66 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $26.92 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $97.72 | $107.15 | $107.15 |
Where Delaware sits
The same service costs 4.5 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· 30th of 51
$200
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.