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 $30.90 Median $77.62 Typical High $93.33 | Facility | None | $30.90 | $77.62 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.90 Typical High $77.62 | Professional | None (both parts) | $28.84 | $30.90 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $19.05 | Professional | 26 · Professional part | $6.92 | $7.24 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $23.99 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $30.90 Typical High $37.15 | Professional | None (both parts) | $7.76 | $30.90 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | TC · Technical part | $25.70 | $25.70 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $295.12 Typical High $724.44 | Facility | None | $114.82 | $295.12 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $131.83 | Professional | None (both parts) | $26.30 | $32.36 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.12 Typical High $30.20 | Professional | 26 · Professional part | $6.92 | $9.12 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $100.00 | Professional | TC · Technical part | $19.95 | $23.99 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $79.43 | Professional | None | $35.48 | $38.90 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $38.02 Typical High $102.33 | Professional | None (both parts) | $22.91 | $38.02 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.23 Typical High $23.44 | Professional | 26 · Professional part | $6.31 | $10.23 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $28.18 Typical High $77.62 | Professional | TC · Technical part | $16.60 | $28.18 | $77.62 |
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 $14.45 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $25.12 | $25.12 |
Where Washington, DC sits
The same service costs 6.0 times more in Vermont 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
$32.36
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.