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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $97.72 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $35.48 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $63.10 | $70.79 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $45.71 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $45.71 | $138.04 | $186.21 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $102.33 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $1,071.52 | Facility | None | $331.13 | $602.56 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $436.52 | Professional | None (both parts) | $89.13 | $154.88 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $33.11 | $46.77 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $346.74 | Professional | TC · Technical part | $57.54 | $97.72 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $269.15 | Professional | None | $128.82 | $141.25 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $102.33 | $154.88 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $31.62 | $51.29 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $63.10 | $97.72 | $229.09 |
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 $48.98 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $79.43 | $85.11 | $85.11 |
Where Washington, DC sits
The same service costs 4.0 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· 38th of 51
$132
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.