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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $39.81 Typical High $91.20 | Professional | None (both parts) | $36.31 | $39.81 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $13.49 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $25.70 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $41.69 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $41.69 | $46.77 | $91.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.85 Typical High $16.22 | Professional | 26 · Professional part | $14.45 | $15.85 | $16.22 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $27.54 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $3,090.30 | Facility | None | $123.03 | $309.03 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $186.21 | Professional | None (both parts) | $33.88 | $58.88 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $56.23 | Professional | 26 · Professional part | $12.88 | $18.20 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $39.81 Typical High $125.89 | Professional | TC · Technical part | $21.38 | $39.81 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $97.72 | Professional | None | $44.67 | $45.71 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $125.89 | Professional | None (both parts) | $38.02 | $61.66 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.05 Typical High $43.65 | Professional | 26 · Professional part | $12.02 | $19.05 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $23.99 | $44.67 | $83.18 |
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 $18.20 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.41 | $7.94 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | FX · Film X-ray | $29.51 | $31.62 | $31.62 |
Where Washington, DC sits
The same service costs 3.8 times more in Alaska than in New York. 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· 43rd of 51
$46.77
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.