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 $131.83 Median $316.23 Typical High $380.19 | Facility | None | $131.83 | $316.23 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $120.23 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $23.44 | $24.55 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $97.72 | $107.15 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $28.84 | $134.90 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $25.70 | $28.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $107.15 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,230.27 Typical High $3,090.30 | Facility | None | $489.78 | $1,230.27 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $524.81 | Professional | None (both parts) | $97.72 | $128.82 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $102.33 | Professional | 26 · Professional part | $22.91 | $30.90 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $426.58 | Professional | TC · Technical part | $69.18 | $97.72 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $331.13 | Professional | None | $141.25 | $154.88 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $83.18 | $154.88 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $20.89 | $33.88 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $123.03 Typical High $346.74 | Professional | TC · Technical part | $64.57 | $123.03 | $346.74 |
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 $60.26 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $104.71 | $104.71 |
Where Washington, DC sits
The same service costs 4.2 times more in Alaska than in New York. 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· 31st of 51
$135
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.