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 $35.48 Median $89.13 Typical High $107.15 | Facility | None | $35.48 | $89.13 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $89.13 | Professional | None (both parts) | $33.11 | $35.48 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $20.42 | Professional | 26 · Professional part | $7.24 | $7.59 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $70.79 | Professional | TC · Technical part | $24.55 | $28.18 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $32.36 | $38.02 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.71 | $8.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $26.30 | $30.20 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $724.44 | Facility | None | $134.90 | $338.84 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $151.36 | Professional | None (both parts) | $29.51 | $37.15 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $31.62 | Professional | 26 · Professional part | $7.08 | $9.77 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $120.23 | Professional | TC · Technical part | $20.89 | $28.18 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $91.20 | Professional | None | $40.74 | $44.67 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $42.66 Typical High $117.49 | Professional | None (both parts) | $25.70 | $42.66 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.47 Typical High $24.55 | Professional | 26 · Professional part | $6.61 | $10.47 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $32.36 Typical High $91.20 | Professional | TC · Technical part | $19.05 | $32.36 | $91.20 |
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 $16.60 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.61 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $26.30 | $28.84 | $28.84 |
Where Washington, DC sits
The same service costs 13.5 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· 34th of 51
$38.02
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.