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 $134.90 Median $134.90 Typical High $380.19 | Facility | None | $134.90 | $134.90 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $120.23 | $134.90 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $38.02 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $218.78 | Professional | TC · Technical part | $87.10 | $97.72 | $218.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $154.88 | Professional | None (both parts) | $97.72 | $138.04 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $44.67 | Professional | 26 · Professional part | $37.15 | $39.81 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $1,513.56 | Facility | None | $436.52 | $1,071.52 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $549.54 | Professional | None (both parts) | $112.20 | $144.54 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $158.49 | Professional | 26 · Professional part | $33.11 | $38.90 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $389.05 | Professional | TC · Technical part | $75.86 | $107.15 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $331.13 | Professional | None | $141.25 | $147.91 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $169.82 Typical High $426.58 | Professional | None (both parts) | $100.00 | $169.82 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $26.92 | $53.70 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $309.03 | Professional | TC · Technical part | $74.13 | $114.82 | $309.03 |
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 $63.10 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $100.00 | $109.65 | $109.65 |
Where Washington, DC sits
The same service costs 3.9 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· 40th of 51
$138
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.