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 $95.50 Median $181.97 Typical High $251.19 | Facility | None | $95.50 | $181.97 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $89.13 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $58.88 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $75.86 | $120.23 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $36.31 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $48.98 | $79.43 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $6,025.60 | Facility | None | $288.40 | $288.40 | $6,025.60 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $81.28 | $93.33 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $31.62 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $52.48 | $63.10 | $95.50 |
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 $43.65 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $43.65 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $17.78 | $19.05 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $75.86 | $77.62 |
Where Delaware sits
The same service costs 4.5 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· 43rd of 51
$95.50
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.