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 $147.91 Median $363.08 Typical High $416.87 | Facility | None | $147.91 | $363.08 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $125.89 | $147.91 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $109.65 | Professional | 26 · Professional part | $40.74 | $43.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $104.71 | $263.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $45.71 | $117.49 | $169.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | TC · Technical part | $107.15 | $107.15 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,174.90 Typical High $1,513.56 | Facility | None | $478.63 | $1,174.90 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $602.56 | Professional | None (both parts) | $120.23 | $169.82 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $181.97 | Professional | 26 · Professional part | $33.11 | $40.74 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $416.87 | Professional | TC · Technical part | $81.28 | $125.89 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $363.08 | Professional | None | $158.49 | $162.18 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $478.63 | Professional | None (both parts) | $117.49 | $186.21 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $26.92 | $61.66 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $331.13 | Professional | TC · Technical part | $89.13 | $128.82 | $331.13 |
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 $69.18 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $120.23 | $120.23 |
Where Washington, DC sits
The same service costs 4.3 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· 41st of 51
$148
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.