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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $489.78 Typical High $501.19 | Professional | None (both parts) | $446.68 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $48.98 | Professional | 26 · Professional part | $19.05 | $19.50 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $436.52 | $489.78 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $20.42 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $20.42 | $602.56 | $676.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $22.91 | $25.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $588.84 Typical High $660.69 | Professional | TC · Technical part | $56.23 | $588.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $380.19 Typical High $4,265.80 | Facility | None | $151.36 | $380.19 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $75.86 Typical High $213.80 | Professional | None (both parts) | $48.98 | $75.86 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $81.28 | Professional | 26 · Professional part | $18.20 | $26.30 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $134.90 | Professional | TC · Technical part | $29.51 | $50.12 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $125.89 | Professional | None | $57.54 | $58.88 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $616.60 Typical High $1,778.28 | Professional | None (both parts) | $60.26 | $616.60 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $63.10 | Professional | 26 · Professional part | $18.20 | $28.18 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $588.84 Typical High $1,698.24 | Professional | TC · Technical part | $41.69 | $588.84 | $1,698.24 |
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 $223.87 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $223.87 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $363.08 | $398.11 | $398.11 |
Where Washington, DC sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 10th of 51
$447
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.