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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $112.20 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $45.71 | $47.86 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $72.44 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $51.29 | $85.11 | $169.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $489.78 | Professional | TC · Technical part | $75.86 | $75.86 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $891.25 Typical High $25,118.86 | Facility | None | $338.84 | $891.25 | $25,118.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $204.17 Typical High $588.84 | Professional | None (both parts) | $112.20 | $204.17 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $199.53 | Professional | 26 · Professional part | $45.71 | $64.57 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $501.19 | Professional | TC · Technical part | $67.61 | $123.03 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $295.12 | Professional | None | $138.04 | $141.25 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $131.83 | $223.87 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $151.36 | Professional | 26 · Professional part | $44.67 | $67.61 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $81.28 | $158.49 | $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 $56.23 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $23.99 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $95.50 | $95.50 |
Where Washington, DC sits
The same service costs 4.1 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· 47th of 51
$126
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.