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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $33.88 | Professional | 26 · Professional part | $30.90 | $32.36 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $87.10 | $95.50 | $95.50 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $34.67 | $47.86 | $87.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $37.15 | $40.74 | $54.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $43.65 | $43.65 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $107.15 | $120.23 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $30.90 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $89.13 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $295.12 | Professional | None | $125.89 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $363.08 | Professional | None (both parts) | $107.15 | $123.03 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $93.33 | Professional | 26 · Professional part | $28.18 | $34.67 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $275.42 | Professional | TC · Technical part | $77.62 | $89.13 | $275.42 |
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 $60.26 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $102.33 | $102.33 |
Where Washington, DC sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 51st of 51
$87.10
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.