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 $38.90 Median $39.81 Typical High $104.71 | Facility | None | $38.90 | $39.81 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $48.98 | Professional | None (both parts) | $16.98 | $16.98 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $16.60 | Professional | 26 · Professional part | $7.08 | $7.08 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $10.00 Typical High $30.20 | Professional | TC · Technical part | $10.00 | $10.00 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $831.76 | Facility | None | $69.18 | $69.18 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $23.44 Typical High $63.10 | Professional | None (both parts) | $16.22 | $23.44 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $22.91 | Professional | 26 · Professional part | $7.24 | $9.55 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $14.13 Typical High $39.81 | Professional | TC · Technical part | $9.33 | $14.13 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $128.82 Median $794.33 Typical High $794.33 | Facility | None | $128.82 | $794.33 | $794.33 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $19.05 | $26.30 | $27.54 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $22.91 | $36.31 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $13.18 Typical High $25.70 | Professional | 26 · Professional part | $7.24 | $13.18 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $14.79 | $23.44 | $43.65 |
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 $16.60 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $6.76 | $7.94 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $29.51 | $31.62 | $31.62 |
Where Delaware sits
The same service costs 9.3 times more in Alaska than in New York. 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· 47th of 51
$27.54
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.