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 $39.81 | Professional | None (both parts) | $28.84 | $30.90 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $9.77 | Professional | 26 · Professional part | $7.24 | $7.59 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $20.89 | $23.44 | $30.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.91 Median $33.11 Typical High $39.81 | Professional | None (both parts) | $8.91 | $33.11 | $39.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $16.60 | Professional | 26 · Professional part | $7.94 | $7.94 | $16.60 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $25.12 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $281.84 Typical High $724.44 | Facility | None | $112.20 | $281.84 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $128.82 | Professional | None (both parts) | $29.51 | $37.15 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $31.62 | Professional | 26 · Professional part | $7.08 | $9.77 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $97.72 | Professional | TC · Technical part | $21.88 | $27.54 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $79.43 | Professional | None | $34.67 | $37.15 | $79.43 |
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 $6.61 Median $10.47 Typical High $24.55 | Professional | 26 · Professional part | $6.61 | $10.47 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $27.54 Typical High $75.86 | Professional | TC · Technical part | $17.78 | $27.54 | $75.86 |
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 $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.31 |
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 3.5 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· 37th of 51
$33.11
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.