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 $30.20 Median $75.86 Typical High $89.13 | Facility | None | $30.20 | $75.86 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.20 Typical High $75.86 | Professional | None (both parts) | $28.18 | $30.20 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $19.95 | Professional | 26 · Professional part | $6.92 | $7.24 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $22.91 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $35.48 | Professional | None (both parts) | $26.92 | $31.62 | $35.48 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.32 Typical High $8.51 | Professional | 26 · Professional part | $7.76 | $8.32 | $8.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | TC · Technical part | $24.55 | $24.55 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $269.15 Typical High $891.25 | Facility | None | $109.65 | $269.15 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $125.89 | Professional | None (both parts) | $26.30 | $31.62 | $125.89 |
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 $18.62 Median $23.44 Typical High $95.50 | Professional | TC · Technical part | $18.62 | $23.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $77.62 | Professional | None | $33.11 | $36.31 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $37.15 Typical High $97.72 | Professional | None (both parts) | $21.88 | $37.15 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.23 Typical High $23.44 | Professional | 26 · Professional part | $6.03 | $10.23 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $26.92 Typical High $75.86 | Professional | TC · Technical part | $15.85 | $26.92 | $75.86 |
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 $13.80 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $13.80 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.62 | $6.03 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | FX · Film X-ray | $22.39 | $23.99 | $23.99 |
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· 39th of 51
$31.62
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.