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 $38.02 Median $38.02 Typical High $100.00 | Facility | None | $38.02 | $38.02 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.88 Typical High $52.48 | Professional | None (both parts) | $30.90 | $33.88 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $12.88 | $12.88 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $17.78 | $20.42 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $29.51 | $37.15 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $10.23 | $15.14 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $22.91 | $38.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $162.18 Typical High $346.74 | Facility | None | $53.70 | $162.18 | $346.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $34.67 | $35.48 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $28.84 | $33.88 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $26.30 | Professional | 26 · Professional part | $11.48 | $14.13 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.50 Typical High $35.48 | Professional | TC · Technical part | $16.22 | $19.50 | $35.48 |
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 $19.05 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $6.61 | $7.59 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $30.90 Typical High $30.90 | Professional | FX · Film X-ray | $26.92 | $30.90 | $30.90 |
Where Delaware sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 42nd of 51
$37.15
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.