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 $23.44 Median $23.44 Typical High $26.30 | Facility | None | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $66.07 Typical High $69.18 | Professional | None (both parts) | $23.44 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $8.91 | $8.91 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $14.13 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $69.18 Typical High $151.36 | Professional | None (both parts) | $20.42 | $69.18 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $6.61 | $10.47 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $13.18 | $63.10 | $141.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.02 Typical High $380.19 | Professional | 26 · Professional part | $7.94 | $12.02 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $32.36 Typical High $147.91 | Professional | None (both parts) | $19.05 | $32.36 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $21.88 | Professional | 26 · Professional part | $7.41 | $10.00 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $23.99 Typical High $138.04 | Professional | TC · Technical part | $11.48 | $23.99 | $138.04 |
1 more rate 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 FX · Film X-ray Typical Low $16.98 Median $19.05 Typical High $20.89 | Professional | FX · Film X-ray | $16.98 | $19.05 | $20.89 |
Where Delaware sits
The same service costs 4.8 times more in Kansas 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· 7th of 51
$66.07
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.