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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $75.86 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $23.44 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $52.48 | $58.88 | $58.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $83.18 Typical High $107.15 | Professional | None (both parts) | $24.55 | $83.18 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | 26 · Professional part | $27.54 | $27.54 | $28.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $81.28 | Professional | TC · Technical part | $63.10 | $64.57 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $1,949.84 | Facility | None | $257.04 | $630.96 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $323.59 | Professional | None (both parts) | $67.61 | $102.33 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $97.72 | Professional | 26 · Professional part | $21.88 | $30.90 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $229.09 | Professional | TC · Technical part | $45.71 | $69.18 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $199.53 | Professional | None | $85.11 | $91.20 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $67.61 | $117.49 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $32.36 Typical High $74.13 | Professional | 26 · Professional part | $20.42 | $32.36 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $181.97 | Professional | TC · Technical part | $45.71 | $67.61 | $181.97 |
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 $38.02 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $15.14 | $16.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | FX · Film X-ray | $60.26 | $64.57 | $64.57 |
Where Washington, DC sits
The same service costs 3.7 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· 42nd of 51
$83.18
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.