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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $213.80 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $34.67 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $229.09 | Professional | TC · Technical part | $204.17 | $223.87 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $398.11 | Facility | None | $165.96 | $165.96 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $131.83 | Professional | None (both parts) | $79.43 | $104.71 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $40.74 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $64.57 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $85.11 | $223.87 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $36.31 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $50.12 | $190.55 | $239.88 |
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 $107.15 Median $117.49 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $42.66 | $46.77 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $173.78 | $190.55 | $190.55 |
Where Delaware sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 49th of 51
$120
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.