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 $158.49 Median $158.49 Typical High $389.05 | Facility | None | $158.49 | $158.49 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $58.88 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $77.62 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $75.86 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $75.86 | $190.55 | $288.40 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $83.18 | $85.11 | $85.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $125.89 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $6,165.95 | Facility | None | $346.74 | $851.14 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $512.86 | Professional | None (both parts) | $125.89 | $213.80 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $72.44 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $354.81 | Professional | TC · Technical part | $70.79 | $128.82 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $371.54 | Professional | None | $141.25 | $151.36 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $467.74 | Professional | None (both parts) | $134.90 | $208.93 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $186.21 | Professional | 26 · Professional part | $51.29 | $81.28 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $74.13 | $138.04 | $281.84 |
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 $70.79 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $117.49 | $125.89 | $125.89 |
Where Washington, DC sits
The same service costs 4.6 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· 34th of 51
$191
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.