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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $323.59 | Professional | None (both parts) | $120.23 | $128.82 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $57.54 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $70.79 | $109.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $562.34 | Professional | None (both parts) | $83.18 | $138.04 | $562.34 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $69.18 | $69.18 |
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 $831.76 Typical High $25,118.86 | Facility | None | $338.84 | $831.76 | $25,118.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $123.03 | $218.78 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $239.88 | Professional | 26 · Professional part | $54.95 | $79.43 | $239.88 |
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 $144.54 Median $144.54 Typical High $316.23 | Professional | None | $144.54 | $144.54 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $141.25 | $234.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $81.28 | $186.21 |
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 $60.26 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $25.70 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $102.33 | $102.33 |
Where Washington, DC sits
The same service costs 4.7 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· 43rd of 51
$151
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.