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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | None (both parts) | $54.95 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $14.79 | $15.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $39.81 | $43.65 | $43.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $50.12 | $63.10 | $69.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $18.20 | Professional | 26 · Professional part | $16.22 | $17.78 | $18.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $45.71 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $512.86 Typical High $4,265.80 | Facility | None | $208.93 | $512.86 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $245.47 | Professional | None (both parts) | $47.86 | $58.88 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $64.57 | Professional | 26 · Professional part | $14.45 | $19.05 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $181.97 | Professional | TC · Technical part | $29.51 | $41.69 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $151.36 | Professional | None | $64.57 | $70.79 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $69.18 Typical High $190.55 | Professional | None (both parts) | $38.02 | $69.18 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.89 Typical High $50.12 | Professional | 26 · Professional part | $12.88 | $20.89 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $47.86 Typical High $141.25 | Professional | TC · Technical part | $24.55 | $47.86 | $141.25 |
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 $27.54 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | FX · Film X-ray | $43.65 | $47.86 | $47.86 |
Where Washington, DC sits
The same service costs 5.6 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· 31st of 51
$63.10
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.