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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $100.00 | Professional | None (both parts) | $39.81 | $42.66 | $100.00 |
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 $28.18 Median $30.90 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $30.90 | $63.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $57.54 | Professional | None (both parts) | $35.48 | $50.12 | $57.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $14.13 | Professional | 26 · Professional part | $12.88 | $13.80 | $14.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $38.90 | Professional | TC · Technical part | $32.36 | $36.31 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $891.25 | Facility | None | $144.54 | $354.81 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $177.83 | Professional | None (both parts) | $40.74 | $56.23 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.62 Typical High $50.12 | Professional | 26 · Professional part | $11.22 | $18.62 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $128.82 | Professional | TC · Technical part | $28.84 | $38.90 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $109.65 | Professional | None | $46.77 | $50.12 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $58.88 Typical High $138.04 | Professional | None (both parts) | $38.02 | $58.88 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $38.90 | Professional | 26 · Professional part | $12.59 | $17.38 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $100.00 | Professional | TC · Technical part | $24.55 | $36.31 | $100.00 |
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 $19.95 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.95 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $31.62 | $34.67 | $34.67 |
Where Washington, DC sits
The same service costs 4.0 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· 36th 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.