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 $851.14 Typical High $2,630.27 | Facility | None | $398.11 | $851.14 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $851.14 | Professional | None (both parts) | $371.54 | $398.11 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $117.49 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $630.96 | Professional | TC · Technical part | $263.03 | $281.84 | $630.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $112.20 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $112.20 | $338.84 | $489.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $100.00 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $2,884.03 | Facility | None | $1,000.00 | $2,570.40 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $660.69 Typical High $1,621.81 | Professional | None (both parts) | $363.08 | $660.69 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $338.84 | Professional | 26 · Professional part | $69.18 | $95.50 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $1,202.26 | Professional | TC · Technical part | $302.00 | $562.34 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $741.31 | Professional | None | $323.59 | $331.13 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $1,174.90 | Professional | None (both parts) | $281.84 | $512.86 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $104.71 Typical High $288.40 | Professional | 26 · Professional part | $53.70 | $104.71 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $436.52 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $436.52 | $891.25 |
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 5.6 times more in Wyoming 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· 40th of 51
$407
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.