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 $31.62 Median $31.62 Typical High $95.50 | Facility | None | $31.62 | $31.62 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $72.44 | Professional | None (both parts) | $26.92 | $31.62 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $17.78 | Professional | 26 · Professional part | $6.92 | $7.24 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $19.50 | $24.55 | $50.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.91 Median $34.67 Typical High $38.02 | Professional | None (both parts) | $8.91 | $34.67 | $38.02 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $9.33 | Professional | 26 · Professional part | $7.94 | $7.94 | $9.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | TC · Technical part | $26.30 | $26.30 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $891.25 | Facility | None | $117.49 | $295.12 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $134.90 | Professional | None (both parts) | $28.18 | $33.11 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $31.62 | Professional | 26 · Professional part | $7.08 | $9.77 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $104.71 | Professional | TC · Technical part | $20.42 | $23.99 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $81.28 | Professional | None | $36.31 | $38.90 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $38.90 Typical High $104.71 | Professional | None (both parts) | $23.99 | $38.90 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.47 Typical High $23.44 | Professional | 26 · Professional part | $6.61 | $10.47 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.84 Typical High $81.28 | Professional | TC · Technical part | $17.38 | $28.84 | $81.28 |
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 $14.79 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $14.79 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.89 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $25.70 Typical High $25.70 | Professional | FX · Film X-ray | $23.44 | $25.70 | $25.70 |
Where Washington, DC sits
The same service costs 3.7 times more in Alaska 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· 37th of 51
$33.88
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.