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 $123.03 Median $123.03 Typical High $331.13 | Facility | None | $123.03 | $123.03 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $114.82 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $26.92 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $87.10 | $97.72 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $32.36 | $109.65 | $138.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $27.54 | $29.51 | $29.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $97.72 | Professional | TC · Technical part | $81.28 | $89.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,000.00 Typical High $3,090.30 | Facility | None | $363.08 | $1,000.00 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $436.52 | Professional | None (both parts) | $97.72 | $141.25 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $114.82 | Professional | 26 · Professional part | $25.70 | $30.90 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $316.23 | Professional | TC · Technical part | $70.79 | $109.65 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $269.15 | Professional | None | $125.89 | $134.90 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $97.72 | $165.96 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $34.67 Typical High $89.13 | Professional | 26 · Professional part | $21.38 | $34.67 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $131.83 | $257.04 |
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 $57.54 Median $61.66 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $24.55 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $91.20 | $100.00 | $100.00 |
Where Washington, DC sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 43rd of 51
$123
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.