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 $38.90 Median $95.50 Typical High $112.20 | Facility | None | $38.90 | $95.50 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $95.50 | Professional | None (both parts) | $35.48 | $38.90 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.55 Typical High $26.30 | Professional | 26 · Professional part | $9.33 | $9.55 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $28.84 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $40.74 | $44.67 | $53.70 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $10.23 | $11.48 | $15.14 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.90 Typical High $33.88 | Professional | TC · Technical part | $30.20 | $30.90 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $891.25 | Facility | None | $134.90 | $346.74 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $158.49 | Professional | None (both parts) | $36.31 | $43.65 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.88 Typical High $40.74 | Professional | 26 · Professional part | $9.12 | $12.88 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $120.23 | Professional | TC · Technical part | $26.30 | $30.20 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $97.72 | Professional | None | $42.66 | $46.77 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $123.03 | Professional | None (both parts) | $31.62 | $46.77 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.49 Typical High $30.90 | Professional | 26 · Professional part | $8.51 | $13.49 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $93.33 | Professional | TC · Technical part | $22.91 | $33.11 | $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 $17.78 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $17.78 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.08 | $7.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | FX · Film X-ray | $28.18 | $30.90 | $30.90 |
Where Washington, DC sits
The same service costs 12.6 times more in Vermont 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· 30th of 51
$44.67
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.