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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $27.54 Typical High $28.18 | Professional | None (both parts) | $25.70 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $10.00 | Professional | 26 · Professional part | $8.71 | $8.91 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $16.60 | $18.62 | $18.62 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.55 Median $19.50 Typical High $30.20 | Professional | None (both parts) | $9.55 | $19.50 | $30.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.47 | $10.72 | $10.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $34.67 Typical High $114.82 | Professional | None (both parts) | $25.70 | $34.67 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.75 Typical High $38.02 | Professional | 26 · Professional part | $8.51 | $11.75 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $75.86 | Professional | TC · Technical part | $16.98 | $22.91 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $64.57 | Professional | None | $28.18 | $28.84 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $63.10 Typical High $141.25 | Professional | None (both parts) | $33.11 | $63.10 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.59 Typical High $28.18 | Professional | 26 · Professional part | $7.94 | $12.59 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $51.29 Typical High $112.20 | Professional | TC · Technical part | $25.70 | $51.29 | $112.20 |
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 $12.88 Median $13.80 Typical High $14.13 | Professional | 52 · Reduced service | $12.88 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $5.62 | Professional | 53 · Discontinued | $5.13 | $5.50 | $5.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | FX · Film X-ray | $20.42 | $21.88 | $21.88 |
Where Washington, DC sits
The same service costs 4.7 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· 48th of 51
$27.54
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.