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 $144.54 Median $151.36 Typical High $316.23 | Professional | None (both parts) | $144.54 | $151.36 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $81.28 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $70.79 | $208.93 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $588.84 | Professional | None (both parts) | $162.18 | $177.83 | $588.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $87.10 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $83.18 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $831.76 Typical High $25,118.86 | Facility | None | $331.13 | $831.76 | $25,118.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $741.31 | Professional | None (both parts) | $144.54 | $263.03 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $338.84 | Professional | 26 · Professional part | $67.61 | $83.18 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $162.18 Typical High $512.86 | Professional | TC · Technical part | $66.07 | $162.18 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $371.54 | Professional | None | $173.78 | $173.78 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $165.96 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $114.82 Typical High $263.03 | Professional | 26 · Professional part | $51.29 | $114.82 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $181.97 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $181.97 | $229.09 |
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 $70.79 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $30.20 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $114.82 | $120.23 | $120.23 |
Where Washington, DC sits
The same service costs 5.1 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· 43rd of 51
$178
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.