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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $117.49 | Professional | None (both parts) | $102.33 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | TC · Technical part | $48.98 | $52.48 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $93.33 | $128.82 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $66.07 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $43.65 | $61.66 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $102.33 | $114.82 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $58.88 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $50.12 | $57.54 | $79.43 |
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 $51.29 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $22.91 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $91.20 Typical High $93.33 | Professional | FX · Film X-ray | $87.10 | $91.20 | $93.33 |
Where Delaware sits
The same service costs 4.5 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· 48th of 51
$115
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.