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 $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.31 Median $6.76 Typical High $7.24 | Professional | None (both parts) | $6.31 | $6.76 | $7.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $2.57 Typical High $2.82 | Professional | 26 · Professional part | $2.34 | $2.57 | $2.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $4.27 Typical High $4.47 | Professional | TC · Technical part | $3.98 | $4.27 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $194.98 | Facility | None | $12.30 | $12.30 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.03 Median $15.14 Typical High $35.48 | Professional | None (both parts) | $6.03 | $15.14 | $35.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1.95 Median $2.69 Typical High $4.79 | Professional | 26 · Professional part | $1.95 | $2.69 | $4.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $11.75 Typical High $32.36 | Professional | TC · Technical part | $3.89 | $11.75 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $6.03 Median $9.77 Typical High $39.81 | Professional | None (both parts) | $6.03 | $9.77 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.14 Median $2.88 Typical High $6.03 | Professional | 26 · Professional part | $2.14 | $2.88 | $6.03 |
United Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $6.46 Typical High $36.31 | Professional | TC · Technical part | $3.72 | $6.46 | $36.31 |
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 $3.16 Median $3.39 Typical High $3.55 | Professional | 52 · Reduced service | $3.16 | $3.39 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.35 Typical High $1.45 | Professional | 53 · Discontinued | $1.26 | $1.35 | $1.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.01 Median $5.50 Typical High $5.50 | Professional | FX · Film X-ray | $5.01 | $5.50 | $5.50 |
Where Delaware sits
The same service costs 4.2 times more in Kansas 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· 23rd of 51
$10.72
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.