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 $47.86 Median $114.82 Typical High $138.04 | Facility | None | $47.86 | $114.82 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $120.23 | Professional | None (both parts) | $44.67 | $47.86 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $35.48 | Professional | 26 · Professional part | $13.18 | $13.80 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.88 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $33.88 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $35.48 | $51.29 | $56.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.14 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $15.14 | $16.22 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $37.15 | Professional | TC · Technical part | $32.36 | $36.31 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $398.11 Typical High $891.25 | Facility | None | $162.18 | $398.11 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $199.53 | Professional | None (both parts) | $44.67 | $52.48 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $57.54 | Professional | 26 · Professional part | $13.18 | $17.78 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $141.25 | Professional | TC · Technical part | $28.84 | $34.67 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $53.70 Typical High $117.49 | Professional | None | $52.48 | $53.70 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $38.90 | $58.88 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.05 Typical High $43.65 | Professional | 26 · Professional part | $12.02 | $19.05 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $112.20 | Professional | TC · Technical part | $26.30 | $39.81 | $112.20 |
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 $22.39 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $22.39 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.91 | $9.55 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | FX · Film X-ray | $35.48 | $38.02 | $38.02 |
Where Washington, DC sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$51.29
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.