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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $20.42 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $117.49 | $131.83 | $131.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $24.55 | $154.88 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $21.88 | $26.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $128.82 | $131.83 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,479.11 Typical High $1,698.24 | Facility | None | $588.84 | $1,479.11 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $602.56 | Professional | None (both parts) | $120.23 | $154.88 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $87.10 | Professional | 26 · Professional part | $19.50 | $26.92 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $512.86 | Professional | TC · Technical part | $95.50 | $128.82 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $363.08 | Professional | None | $162.18 | $169.82 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $478.63 | Professional | None (both parts) | $109.65 | $186.21 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $66.07 | Professional | 26 · Professional part | $19.05 | $28.84 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $407.38 | Professional | TC · Technical part | $89.13 | $158.49 | $407.38 |
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 $69.18 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $27.54 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
Where Washington, DC sits
The same service costs 3.8 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· 39th of 51
$155
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.