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 $40.74 Median $102.33 Typical High $123.03 | Facility | None | $40.74 | $102.33 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $102.33 | Professional | None (both parts) | $37.15 | $40.74 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.72 Typical High $28.18 | Professional | 26 · Professional part | $10.47 | $10.72 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.20 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $30.20 | $74.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $11.48 Median $42.66 Typical High $47.86 | Professional | None (both parts) | $11.48 | $42.66 | $47.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $10.72 | $12.88 | $12.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $30.90 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $363.08 Typical High $891.25 | Facility | None | $141.25 | $363.08 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $169.82 | Professional | None (both parts) | $37.15 | $45.71 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $45.71 | Professional | 26 · Professional part | $9.77 | $12.02 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $123.03 | Professional | TC · Technical part | $26.92 | $33.11 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $102.33 | Professional | None | $46.77 | $50.12 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $131.83 | Professional | None (both parts) | $32.36 | $48.98 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.14 Typical High $34.67 | Professional | 26 · Professional part | $8.32 | $15.14 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $95.50 | Professional | TC · Technical part | $23.99 | $34.67 | $95.50 |
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 $18.62 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $18.62 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $8.13 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $30.20 | $32.36 | $32.36 |
Where Washington, DC sits
The same service costs 3.7 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· 38th of 51
$42.66
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.