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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $117.49 | Professional | None (both parts) | $46.77 | $51.29 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $25.70 | Professional | 26 · Professional part | $9.77 | $10.23 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $85.11 | Professional | TC · Technical part | $37.15 | $40.74 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.02 Median $48.98 Typical High $60.26 | Professional | None (both parts) | $12.02 | $48.98 | $60.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | 26 · Professional part | $10.96 | $10.96 | $12.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $36.31 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $724.44 | Facility | None | $194.98 | $489.78 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $213.80 | Professional | None (both parts) | $44.67 | $54.95 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $42.66 | Professional | 26 · Professional part | $9.55 | $13.49 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $169.82 | Professional | TC · Technical part | $33.11 | $40.74 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $128.82 | Professional | None | $57.54 | $61.66 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $63.10 Typical High $165.96 | Professional | None (both parts) | $38.02 | $63.10 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.79 Typical High $33.11 | Professional | 26 · Professional part | $9.33 | $14.79 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $48.98 Typical High $131.83 | Professional | TC · Technical part | $28.84 | $48.98 | $131.83 |
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 $23.44 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $23.44 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.33 | $10.23 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $38.02 | $40.74 | $40.74 |
Where Washington, DC sits
The same service costs 4.5 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· 40th of 51
$51.29
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.