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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $147.91 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $50.12 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $100.00 | $112.20 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $104.71 | $131.83 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | 26 · Professional part | $53.70 | $53.70 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $6,165.95 | Facility | None | $501.19 | $1,230.27 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $645.65 | Professional | None (both parts) | $128.82 | $165.96 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $208.93 | Professional | 26 · Professional part | $47.86 | $66.07 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $436.52 | Professional | TC · Technical part | $70.79 | $102.33 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $398.11 | Professional | None | $169.82 | $181.97 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $512.86 | Professional | None (both parts) | $114.82 | $199.53 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $45.71 | $70.79 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $346.74 | Professional | TC · Technical part | $67.61 | $128.82 | $346.74 |
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 $74.13 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $30.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $120.23 | $128.82 | $128.82 |
Where Washington, DC sits
The same service costs 4.3 times more in Alaska than in Utah. 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.
Washington, DC· 39th of 51
$162
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.