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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.90 Typical High $72.44 | Professional | None (both parts) | $28.84 | $30.90 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $8.71 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $48.98 | Professional | TC · Technical part | $19.95 | $22.39 | $48.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.33 Median $25.70 Typical High $36.31 | Professional | None (both parts) | $9.33 | $25.70 | $36.31 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $9.12 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $257.04 Typical High $724.44 | Facility | None | $104.71 | $257.04 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $128.82 | Professional | None (both parts) | $28.84 | $37.15 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $36.31 | Professional | 26 · Professional part | $8.32 | $10.72 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $91.20 | Professional | TC · Technical part | $20.89 | $26.92 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $77.62 | Professional | None | $33.88 | $36.31 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $38.02 Typical High $100.00 | Professional | None (both parts) | $23.99 | $38.02 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.30 Typical High $27.54 | Professional | 26 · Professional part | $7.08 | $12.30 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $72.44 | Professional | TC · Technical part | $16.98 | $26.30 | $72.44 |
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 $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $5.75 | $6.17 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $25.12 | $25.12 |
Where Washington, DC 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.
Washington, DC· 43rd of 51
$31.62
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.