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 $128.82 Typical High $154.88 | Facility | None | $51.29 | $128.82 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $128.82 | Professional | None (both parts) | $47.86 | $51.29 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $31.62 | Professional | 26 · Professional part | $11.22 | $11.75 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $95.50 | Professional | TC · Technical part | $34.67 | $39.81 | $95.50 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $47.86 | $54.95 | $66.07 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $12.59 | $13.80 | $13.80 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $489.78 Typical High $891.25 | Facility | None | $190.55 | $489.78 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $218.78 | Professional | None (both parts) | $48.98 | $57.54 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.38 Typical High $48.98 | Professional | 26 · Professional part | $10.96 | $17.38 | $48.98 |
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 $58.88 Median $63.10 Typical High $131.83 | Professional | None | $58.88 | $63.10 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $61.66 Typical High $165.96 | Professional | None (both parts) | $42.66 | $61.66 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $37.15 | Professional | 26 · Professional part | $11.48 | $16.60 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $128.82 | Professional | TC · Technical part | $30.20 | $45.71 | $128.82 |
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 $9.55 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.55 | $10.23 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | FX · Film X-ray | $38.02 | $41.69 | $41.69 |
Where Washington, DC sits
The same service costs 4.8 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· 39th of 51
$54.95
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.