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 $20.89 Median $50.12 Typical High $60.26 | Facility | None | $20.89 | $50.12 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.89 Typical High $56.23 | Professional | None (both parts) | $19.05 | $20.89 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $18.20 | Professional | 26 · Professional part | $6.31 | $6.61 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $14.13 Typical High $35.48 | Professional | TC · Technical part | $12.88 | $14.13 | $35.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $17.78 Typical High $25.70 | Professional | None (both parts) | $7.76 | $17.78 | $25.70 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $8.13 | Professional | 26 · Professional part | $7.08 | $7.08 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $165.96 Typical High $724.44 | Facility | None | $67.61 | $165.96 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $28.18 Typical High $87.10 | Professional | None (both parts) | $19.50 | $28.18 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.51 Typical High $27.54 | Professional | 26 · Professional part | $6.31 | $8.51 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.05 Typical High $58.88 | Professional | TC · Technical part | $13.18 | $19.05 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $52.48 | Professional | None | $22.91 | $25.12 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $29.51 Typical High $67.61 | Professional | None (both parts) | $19.05 | $29.51 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.33 Typical High $21.38 | Professional | 26 · Professional part | $5.75 | $9.33 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $16.60 Typical High $45.71 | Professional | TC · Technical part | $12.88 | $16.60 | $45.71 |
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 $9.55 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $9.55 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.89 | $4.17 | $4.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | FX · Film X-ray | $15.49 | $16.60 | $16.60 |
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· 46th of 51
$21.88
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.