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 $95.50 Median $95.50 Typical High $263.03 | Facility | None | $95.50 | $95.50 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $223.87 | Professional | None (both parts) | $89.13 | $95.50 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $21.38 | $25.70 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $70.79 | $158.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $77.62 | $97.72 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $26.92 | $30.20 | $30.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $70.79 | $70.79 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $776.25 Typical High $1,513.56 | Facility | None | $316.23 | $776.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $380.19 | Professional | None (both parts) | $77.62 | $102.33 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $107.15 | Professional | 26 · Professional part | $22.39 | $27.54 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $275.42 | Professional | TC · Technical part | $53.70 | $77.62 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $229.09 | Professional | None | $100.00 | $102.33 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $117.49 Typical High $302.00 | Professional | None (both parts) | $70.79 | $117.49 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $36.31 Typical High $81.28 | Professional | 26 · Professional part | $17.78 | $36.31 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $218.78 | Professional | TC · Technical part | $52.48 | $81.28 | $218.78 |
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 $44.67 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $44.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $70.79 | $75.86 | $75.86 |
Where Washington, DC sits
The same service costs 3.8 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· 39th of 51
$97.72
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.