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 $537.03 Typical High $2,570.40 | Facility | None | $398.11 | $537.03 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $331.13 | $398.11 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $117.49 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $281.84 | $436.52 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $676.08 | Professional | None (both parts) | $87.10 | $186.21 | $676.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $95.50 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,445.44 Typical High $1,621.81 | Facility | None | $588.84 | $1,445.44 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $524.81 Typical High $1,000.00 | Professional | None (both parts) | $190.55 | $524.81 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $288.40 | Professional | 26 · Professional part | $58.88 | $81.28 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $134.90 | $371.54 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $478.63 | Professional | None | $204.17 | $218.78 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $199.53 | $371.54 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $89.13 Typical High $245.47 | Professional | 26 · Professional part | $46.77 | $89.13 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $295.12 | $489.78 |
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 24.0 times more in Vermont 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· 38th of 51
$282
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.