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 $398.11 Median $398.11 Typical High $2,630.27 | Facility | None | $398.11 | $398.11 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $371.54 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $112.20 | $117.49 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $338.84 | Professional | TC · Technical part | $257.04 | $281.84 | $338.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $275.42 | $446.68 | $616.60 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $199.53 Typical High $218.78 | Professional | 26 · Professional part | $194.98 | $199.53 | $218.78 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $758.58 | Professional | TC · Technical part | $245.47 | $245.47 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $6,025.60 | Facility | None | $489.78 | $489.78 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,659.59 Typical High $4,265.80 | Professional | None (both parts) | $1,122.02 | $1,659.59 | $4,265.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $181.97 Typical High $467.74 | Professional | 26 · Professional part | $134.90 | $181.97 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,479.11 Typical High $3,801.89 | Professional | TC · Technical part | $891.25 | $1,479.11 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $3,467.37 | Professional | None | $1,548.82 | $1,659.59 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $1,230.27 | Professional | None (both parts) | $269.15 | $489.78 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $194.98 Typical High $549.54 | Professional | 26 · Professional part | $60.26 | $194.98 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $691.83 | Professional | TC · Technical part | $141.25 | $269.15 | $691.83 |
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 $186.21 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | FX · Film X-ray | $323.59 | $323.59 | $323.59 |
Where Washington, DC sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 35th of 51
$490
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.