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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $125.89 | $134.90 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $45.71 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $89.13 | $181.97 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $660.69 | Professional | None (both parts) | $144.54 | $162.18 | $660.69 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $53.70 | $147.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $977.24 | Professional | TC · Technical part | $97.72 | $107.15 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $42,657.95 | Facility | None | $436.52 | $1,071.52 | $42,657.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $229.09 Typical High $676.08 | Professional | None (both parts) | $128.82 | $229.09 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $190.55 | Professional | 26 · Professional part | $43.65 | $63.10 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $144.54 Typical High $501.19 | Professional | TC · Technical part | $87.10 | $144.54 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $338.84 | Professional | None | $151.36 | $154.88 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $144.54 | $239.88 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $147.91 | Professional | 26 · Professional part | $43.65 | $64.57 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $95.50 | $186.21 | $295.12 |
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 $63.10 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $26.92 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $102.33 | $109.65 | $109.65 |
Where Washington, DC sits
The same service costs 4.2 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· 45th of 51
$162
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.