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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $38.90 | Professional | None (both parts) | $34.67 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $8.91 | Professional | 26 · Professional part | $7.59 | $7.76 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $26.30 | $29.51 | $29.51 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $43.65 | Professional | None (both parts) | $33.11 | $38.90 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $9.55 | Professional | 26 · Professional part | $8.32 | $9.12 | $9.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $33.88 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $346.74 Typical High $891.25 | Facility | None | $138.04 | $346.74 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $154.88 | Professional | None (both parts) | $32.36 | $38.90 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $32.36 | Professional | 26 · Professional part | $7.41 | $10.00 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $123.03 | Professional | TC · Technical part | $23.99 | $29.51 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $93.33 | Professional | None | $41.69 | $44.67 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $120.23 | Professional | None (both parts) | $27.54 | $44.67 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.96 Typical High $25.12 | Professional | 26 · Professional part | $6.92 | $10.96 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $93.33 | Professional | TC · Technical part | $20.89 | $33.88 | $93.33 |
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 $17.38 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $17.38 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.92 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $27.54 | $30.20 | $30.20 |
Where Washington, DC sits
The same service costs 3.9 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.
Washington, DC· 38th of 51
$38.90
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.