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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $87.10 | Professional | None (both parts) | $58.88 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $19.95 | $20.89 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $38.90 | $41.69 | $58.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $21.88 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $21.88 | $138.04 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $75.86 | Professional | 26 · Professional part | $24.55 | $30.20 | $75.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $177.83 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $173.78 | Professional | None (both parts) | $52.48 | $58.88 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $52.48 | Professional | 26 · Professional part | $18.20 | $19.50 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $134.90 | Professional | TC · Technical part | $34.67 | $39.81 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $151.36 | Professional | None | $67.61 | $75.86 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $398.11 | Professional | None (both parts) | $123.03 | $141.25 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $338.84 | Professional | TC · Technical part | $95.50 | $107.15 | $338.84 |
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 $29.51 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $29.51 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $11.75 | $12.59 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $46.77 | $50.12 | $50.12 |
Where Washington, DC sits
The same service costs 6.6 times more in Nebraska 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· 26th of 51
$126
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.