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 $31.62 Median $31.62 Typical High $91.20 | Facility | None | $31.62 | $31.62 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $69.18 | Professional | None (both parts) | $28.84 | $31.62 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $18.62 | Professional | 26 · Professional part | $7.59 | $7.76 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $23.44 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.33 Median $33.88 Typical High $37.15 | Professional | None (both parts) | $9.33 | $33.88 | $37.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.51 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $28.18 | Professional | TC · Technical part | $18.20 | $25.12 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $281.84 Typical High $724.44 | Facility | None | $114.82 | $281.84 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $131.83 | Professional | None (both parts) | $26.30 | $33.11 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $32.36 | Professional | 26 · Professional part | $7.24 | $9.55 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $100.00 | Professional | TC · Technical part | $17.78 | $23.99 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $79.43 | Professional | None | $34.67 | $38.02 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $38.02 Typical High $102.33 | Professional | None (both parts) | $22.91 | $38.02 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.23 Typical High $23.99 | Professional | 26 · Professional part | $6.61 | $10.23 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $27.54 Typical High $77.62 | Professional | TC · Technical part | $16.22 | $27.54 | $77.62 |
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 $14.45 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $23.44 | $25.12 | $25.12 |
Where Washington, DC sits
The same service costs 4.1 times more in Alaska than in New York. 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
$32.36
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.