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 $30.20 Median $30.20 Typical High $57.54 | Facility | None | $30.20 | $30.20 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $31.62 | Professional | None (both parts) | $25.70 | $25.70 | $31.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $10.72 | Professional | 26 · Professional part | $8.51 | $8.51 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | TC · Technical part | $17.38 | $17.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $138.04 | Facility | None | $51.29 | $51.29 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $22.91 | $35.48 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $6.92 | $10.47 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $24.55 | $38.90 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | TC · Technical part | $426.58 | $426.58 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $25.12 | $33.11 | $74.13 |
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 $17.38 Median $22.91 Typical High $50.12 | Professional | TC · Technical part | $17.38 | $22.91 | $50.12 |
2 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 FX · Film X-ray Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | FX · Film X-ray | $22.39 | $23.99 | $23.99 |
Highmark BCBS Setting Professional Modifier XU · Unusual separate service Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | XU · Unusual separate service | $36.31 | $36.31 | $36.31 |
Where Delaware sits
The same service costs 3.8 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· 45th of 51
$30.20
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.