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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $446.68 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $21.88 | $22.39 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $436.52 | $489.78 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.99 Median $616.60 Typical High $676.08 | Professional | None (both parts) | $23.99 | $616.60 | $676.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $26.30 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $588.84 Typical High $660.69 | Professional | TC · Technical part | $37.15 | $588.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $512.86 Typical High $4,265.80 | Facility | None | $208.93 | $512.86 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $275.42 | Professional | None (both parts) | $61.66 | $87.10 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $93.33 | Professional | 26 · Professional part | $21.38 | $30.20 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $181.97 | Professional | TC · Technical part | $39.81 | $56.23 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $158.49 | Professional | None | $74.13 | $74.13 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $616.60 Typical High $1,778.28 | Professional | None (both parts) | $60.26 | $616.60 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $20.42 | $31.62 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $588.84 Typical High $1,698.24 | Professional | TC · Technical part | $39.81 | $588.84 | $1,698.24 |
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 $223.87 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $223.87 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $363.08 | $398.11 | $398.11 |
Where Washington, DC sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 10th of 51
$447
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.