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 $42.66 Median $42.66 Typical High $123.03 | Facility | None | $42.66 | $42.66 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $100.00 | Professional | None (both parts) | $39.81 | $42.66 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $10.47 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $32.36 Typical High $70.79 | Professional | TC · Technical part | $29.51 | $32.36 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $45.71 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $45.71 | $50.12 | $79.43 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $11.22 | $12.30 | $16.60 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $34.67 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $380.19 Typical High $891.25 | Facility | None | $154.88 | $380.19 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $177.83 | Professional | None (both parts) | $40.74 | $51.29 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $43.65 | Professional | 26 · Professional part | $9.77 | $12.02 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $134.90 | Professional | TC · Technical part | $30.20 | $39.81 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $109.65 | Professional | None | $46.77 | $51.29 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $138.04 | Professional | None (both parts) | $35.48 | $52.48 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.79 Typical High $33.88 | Professional | 26 · Professional part | $8.32 | $14.79 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $104.71 | Professional | TC · Technical part | $27.54 | $38.02 | $104.71 |
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 $19.50 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $31.62 | $33.88 | $33.88 |
Where Washington, DC sits
The same service costs 3.9 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· 34th of 51
$50.12
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.