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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $144.54 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $48.98 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $95.50 | $104.71 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $512.86 | Professional | None (both parts) | $134.90 | $181.97 | $512.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $57.54 | $57.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $309.03 | Professional | TC · Technical part | $112.20 | $125.89 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $25,118.86 | Facility | None | $501.19 | $1,318.26 | $25,118.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $758.58 | Professional | None (both parts) | $144.54 | $245.47 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $204.17 | Professional | 26 · Professional part | $45.71 | $66.07 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $165.96 Typical High $524.81 | Professional | TC · Technical part | $97.72 | $165.96 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $389.05 | Professional | None | $177.83 | $181.97 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $158.49 | $245.47 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $45.71 | $67.61 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $194.98 | $354.81 |
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 $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $114.82 | $123.03 | $123.03 |
Where Washington, DC sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$182
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.