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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $114.82 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $28.18 | Professional | 26 · Professional part | $23.44 | $24.55 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $91.20 | $102.33 | $102.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $100.00 | $125.89 | $141.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | 26 · Professional part | $25.70 | $25.70 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $112.20 | Professional | TC · Technical part | $83.18 | $102.33 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,230.27 Typical High $3,090.30 | Facility | None | $457.09 | $1,230.27 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $501.19 | Professional | None (both parts) | $100.00 | $125.89 | $501.19 |
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 $75.86 Median $95.50 Typical High $398.11 | Professional | TC · Technical part | $75.86 | $95.50 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $316.23 | Professional | None | $141.25 | $154.88 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $158.49 Typical High $398.11 | Professional | None (both parts) | $83.18 | $158.49 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $35.48 Typical High $79.43 | Professional | 26 · Professional part | $20.89 | $35.48 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $123.03 Typical High $323.59 | Professional | TC · Technical part | $61.66 | $123.03 | $323.59 |
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 $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $93.33 | $100.00 | $100.00 |
Where Washington, DC sits
The same service costs 3.9 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· 39th of 51
$126
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.