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 $245.47 Median $245.47 Typical High $691.83 | Facility | None | $245.47 | $245.47 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $93.33 | Professional | 26 · Professional part | $85.11 | $89.13 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $114.82 | $154.88 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $95.50 | $186.21 | $288.40 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $107.15 | $107.15 | $120.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $100.00 | $199.53 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,513.56 Typical High $2,344.23 | Facility | None | $741.31 | $1,513.56 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $199.53 | $234.42 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $85.11 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $147.91 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $147.91 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $478.63 | Professional | None | $275.42 | $309.03 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $691.83 | Professional | None (both parts) | $162.18 | $234.42 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $257.04 | Professional | 26 · Professional part | $75.86 | $93.33 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $436.52 | Professional | TC · Technical part | $85.11 | $144.54 | $436.52 |
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 $104.71 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $181.97 | $194.98 | $194.98 |
Where Washington, DC sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$234
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.