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 $213.80 Median $2,818.38 Typical High $7,413.10 | Facility | None | $213.80 | $2,818.38 | $7,413.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $2,818.38 Typical High $2,884.03 | Professional | None (both parts) | $117.49 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $85.11 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $2,754.23 Typical High $2,884.03 | Professional | TC · Technical part | $87.10 | $2,754.23 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $2,818.38 | Facility | None | $436.52 | $436.52 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $95.50 | $128.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $87.10 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $95.50 | Professional | TC · Technical part | $30.20 | $44.67 | $95.50 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | TC · Technical part | $144.54 | $144.54 | $144.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $1,412.54 Typical High $3,162.28 | Professional | None (both parts) | $114.82 | $1,412.54 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $93.33 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $1,318.26 Typical High $3,090.30 | Professional | TC · Technical part | $39.81 | $1,318.26 | $3,090.30 |
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 $1,174.90 Median $1,412.54 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,174.90 | $1,412.54 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $562.34 Typical High $588.84 | Professional | 53 · Discontinued | $467.74 | $562.34 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,137.96 Median $2,238.72 Typical High $2,238.72 | Professional | FX · Film X-ray | $2,137.96 | $2,238.72 | $2,238.72 |
Where Delaware sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 46th of 51
$166
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.