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 $549.54 | Professional | None (both parts) | $371.54 | $398.11 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $125.89 | Professional | 26 · Professional part | $89.13 | $117.49 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $338.84 | Professional | TC · Technical part | $269.15 | $281.84 | $338.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $457.09 Typical High $512.86 | Professional | None (both parts) | $104.71 | $457.09 | $512.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $97.72 | $117.49 | $117.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | TC · Technical part | $354.81 | $354.81 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,951.21 Typical High $3,311.31 | Facility | None | $851.14 | $2,951.21 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $630.96 Typical High $1,819.70 | Professional | None (both parts) | $338.84 | $630.96 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $354.81 | Professional | 26 · Professional part | $72.44 | $102.33 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $1,412.54 | Professional | TC · Technical part | $275.42 | $537.03 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $870.96 | Professional | None | $363.08 | $389.05 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $575.44 Typical High $1,348.96 | Professional | None (both parts) | $269.15 | $575.44 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $107.15 Typical High $295.12 | Professional | 26 · Professional part | $56.23 | $107.15 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $457.09 Typical High $1,047.13 | Professional | TC · Technical part | $234.42 | $457.09 | $1,047.13 |
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 5.4 times more in Wyoming than in Texas. 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
$457
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.