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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $91.20 | $97.72 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $24.55 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $67.61 | $72.44 | $109.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $25.70 | $234.42 | $275.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $28.18 | $28.18 | $31.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $208.93 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $263.03 | Professional | None (both parts) | $79.43 | $89.13 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $66.07 | Professional | 26 · Professional part | $20.89 | $22.91 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $190.55 | Professional | TC · Technical part | $58.88 | $66.07 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $229.09 | Professional | None | $100.00 | $112.20 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $457.09 | Professional | None (both parts) | $134.90 | $169.82 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $389.05 | Professional | TC · Technical part | $102.33 | $125.89 | $389.05 |
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 $45.71 Median $48.98 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $19.50 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $74.13 | $77.62 | $77.62 |
Where Washington, DC sits
The same service costs 4.2 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· 40th of 51
$151
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.