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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $104.71 | Professional | None (both parts) | $42.66 | $45.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $30.20 | Professional | 26 · Professional part | $11.48 | $12.02 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $70.79 | Professional | TC · Technical part | $30.90 | $33.88 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.88 Median $48.98 Typical High $53.70 | Professional | None (both parts) | $12.88 | $48.98 | $53.70 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $14.13 | $27.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $39.81 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $39.81 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $891.25 | Facility | None | $158.49 | $389.05 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $190.55 | Professional | None (both parts) | $42.66 | $51.29 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $50.12 | Professional | 26 · Professional part | $11.22 | $15.49 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $141.25 | Professional | TC · Technical part | $29.51 | $35.48 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $117.49 | Professional | None | $50.12 | $53.70 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $147.91 | Professional | None (both parts) | $35.48 | $57.54 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.98 Typical High $38.90 | Professional | 26 · Professional part | $10.72 | $16.98 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $109.65 | Professional | TC · Technical part | $25.12 | $39.81 | $109.65 |
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 $21.38 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $21.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $9.33 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | FX · Film X-ray | $33.88 | $37.15 | $37.15 |
Where Washington, DC sits
The same service costs 4.1 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
$48.98
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.