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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $35.48 | $36.31 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $69.18 | $75.86 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $41.69 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $41.69 | $158.49 | $173.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $37.15 | $37.15 | $46.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $134.90 | $134.90 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $309.03 | Professional | None (both parts) | $91.20 | $100.00 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $33.11 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $239.88 | Professional | TC · Technical part | $60.26 | $67.61 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $257.04 | Professional | None | $107.15 | $120.23 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $123.03 | $190.55 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $104.71 | Professional | 26 · Professional part | $32.36 | $39.81 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $158.49 | $269.15 |
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 $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $89.13 | $89.13 |
Where Washington, DC sits
The same service costs 5.2 times more in North Dakota 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· 47th of 51
$120
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.