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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | None (both parts) | $114.82 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $53.70 | Professional | 26 · Professional part | $46.77 | $48.98 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $74.13 | $74.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $128.82 Typical High $346.74 | Professional | None (both parts) | $51.29 | $128.82 | $346.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $85.11 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $4,897.79 | Facility | None | $346.74 | $851.14 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $204.17 Typical High $602.56 | Professional | None (both parts) | $114.82 | $204.17 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $204.17 | Professional | 26 · Professional part | $45.71 | $64.57 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $123.03 Typical High $501.19 | Professional | TC · Technical part | $69.18 | $123.03 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $302.00 | Professional | None | $131.83 | $134.90 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $134.90 | $263.03 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $46.77 | $67.61 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $177.83 | $239.88 |
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 $57.54 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $24.55 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $91.20 | $97.72 | $97.72 |
Where Washington, DC sits
The same service costs 4.9 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· 44th of 51
$132
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.