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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $107.15 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $45.71 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $61.66 | $67.61 | $79.43 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $50.12 | $77.62 | $165.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $56.23 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $794.33 Typical High $42,657.95 | Facility | None | $316.23 | $794.33 | $42,657.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $194.98 Typical High $562.34 | Professional | None (both parts) | $107.15 | $194.98 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $199.53 | Professional | 26 · Professional part | $44.67 | $64.57 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $501.19 | Professional | TC · Technical part | $63.10 | $114.82 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $281.84 | Professional | None | $128.82 | $131.83 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $123.03 | $229.09 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $151.36 | Professional | 26 · Professional part | $44.67 | $66.07 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $74.13 | $154.88 | $218.78 |
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 $53.70 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $53.70 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $22.91 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $85.11 | $91.20 | $91.20 |
Where Washington, DC sits
The same service costs 4.9 times more in Alaska than in Utah. 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.