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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $112.20 | Professional | None (both parts) | $95.50 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $30.20 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $75.86 | Professional | TC · Technical part | $67.61 | $74.13 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $85.11 Typical High $120.23 | Professional | None (both parts) | $31.62 | $85.11 | $120.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $35.48 | $42.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $72.44 | $77.62 | $77.62 |
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 $83.18 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $83.18 | $134.90 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $125.89 | Professional | 26 · Professional part | $28.18 | $39.81 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $354.81 | Professional | TC · Technical part | $52.48 | $93.33 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $251.19 | Professional | None | $112.20 | $114.82 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $95.50 | $169.82 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $95.50 | Professional | 26 · Professional part | $26.92 | $41.69 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $125.89 | $234.42 |
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 $47.86 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $20.89 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $77.62 | $83.18 | $83.18 |
Where Washington, DC sits
The same service costs 4.6 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
$107
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.