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 $120.23 Median $288.40 Typical High $338.84 | Facility | None | $120.23 | $288.40 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $302.00 | Professional | None (both parts) | $109.65 | $120.23 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $33.88 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $85.11 | $213.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $85.11 | $100.00 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $36.31 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $977.24 Typical High $1,513.56 | Facility | None | $389.05 | $977.24 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $478.63 | Professional | None (both parts) | $97.72 | $125.89 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $144.54 | Professional | 26 · Professional part | $31.62 | $38.02 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $338.84 | Professional | TC · Technical part | $66.07 | $89.13 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $288.40 | Professional | None | $128.82 | $131.83 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $380.19 | Professional | None (both parts) | $87.10 | $147.91 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $26.92 | $48.98 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $60.26 | $97.72 | $269.15 |
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 $54.95 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $95.50 | $95.50 |
Where Washington, DC sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$120
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.