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 $138.04 Median $151.36 Typical High $158.49 | Professional | None (both parts) | $138.04 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $51.29 | $52.48 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $89.13 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $57.54 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $57.54 | $120.23 | $199.53 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $64.57 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,412.54 Typical High $25,118.86 | Facility | None | $489.78 | $1,412.54 | $25,118.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $776.25 | Professional | None (both parts) | $147.91 | $229.09 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $229.09 | Professional | 26 · Professional part | $51.29 | $64.57 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $501.19 | Professional | TC · Technical part | $95.50 | $144.54 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $363.08 | Professional | None | $194.98 | $199.53 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $169.82 | $263.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $44.67 | $77.62 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $177.83 | $309.03 |
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 $69.18 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $30.20 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
Where Washington, DC sits
The same service costs 3.8 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
$166
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.