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 $398.11 Median $891.25 Typical High $2,630.27 | Facility | None | $398.11 | $891.25 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $891.25 | Professional | None (both parts) | $371.54 | $398.11 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $87.10 | $117.49 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $263.03 | $281.84 | $660.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $95.50 | $416.87 | $512.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $363.08 Typical High $398.11 | Professional | TC · Technical part | $323.59 | $363.08 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $3,162.28 | Facility | None | $1,148.15 | $2,754.23 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $309.03 | $645.65 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $316.23 | Professional | 26 · Professional part | $64.57 | $89.13 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $537.03 Typical High $1,288.25 | Professional | TC · Technical part | $251.19 | $537.03 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $758.58 | Professional | None | $338.84 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $1,230.27 | Professional | None (both parts) | $263.03 | $501.19 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $269.15 | Professional | 26 · Professional part | $51.29 | $97.72 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $954.99 | Professional | TC · Technical part | $223.87 | $426.58 | $954.99 |
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 $186.21 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | FX · Film X-ray | $323.59 | $323.59 | $323.59 |
Where Washington, DC sits
The same service costs 5.4 times more in Wyoming 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· 37th of 51
$427
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.