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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $33.88 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $7.94 | Professional | 26 · Professional part | $6.92 | $7.24 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $26.30 | $29.51 | $29.51 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.59 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $7.59 | $38.02 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $9.33 | Professional | 26 · Professional part | $8.32 | $8.51 | $9.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $33.88 | Professional | TC · Technical part | $28.84 | $30.20 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $331.13 Typical High $724.44 | Facility | None | $138.04 | $331.13 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $151.36 | Professional | None (both parts) | $33.88 | $40.74 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $30.20 | Professional | 26 · Professional part | $6.76 | $9.77 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $120.23 | Professional | TC · Technical part | $26.92 | $30.90 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $91.20 | Professional | None | $38.90 | $42.66 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $117.49 | Professional | None (both parts) | $30.20 | $43.65 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.23 Typical High $23.44 | Professional | 26 · Professional part | $6.61 | $10.23 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $93.33 | Professional | TC · Technical part | $23.44 | $33.88 | $93.33 |
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 $16.60 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $16.60 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.76 | $7.24 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $26.92 | $29.51 | $29.51 |
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· 40th of 51
$38.02
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.