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 $33.11 Median $83.18 Typical High $97.72 | Facility | None | $33.11 | $83.18 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $85.11 | Professional | None (both parts) | $30.90 | $33.11 | $85.11 |
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 $22.39 Median $25.70 Typical High $64.57 | Professional | TC · Technical part | $22.39 | $25.70 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $41.69 | Professional | None (both parts) | $26.92 | $34.67 | $41.69 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $7.76 | $8.51 | $8.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | TC · Technical part | $30.20 | $30.20 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $309.03 Typical High $724.44 | Facility | None | $120.23 | $309.03 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $138.04 | Professional | None (both parts) | $27.54 | $34.67 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $30.20 | Professional | 26 · Professional part | $6.92 | $10.23 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $107.15 | Professional | TC · Technical part | $20.42 | $25.70 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $83.18 | Professional | None | $36.31 | $39.81 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $40.74 Typical High $107.15 | Professional | None (both parts) | $23.99 | $40.74 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.23 Typical High $23.44 | Professional | 26 · Professional part | $6.61 | $10.23 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $30.90 Typical High $83.18 | Professional | TC · Technical part | $17.38 | $30.90 | $83.18 |
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 $15.14 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $15.14 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.17 | $6.61 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $24.55 | $26.30 | $26.30 |
Where Washington, DC sits
The same service costs 12.9 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· 35th of 51
$34.67
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.