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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $123.03 | $131.83 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $57.54 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $66.07 | $72.44 | $100.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $69.18 | $83.18 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $61.66 | $67.61 |
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 $645.65 | Professional | None (both parts) | $123.03 | $218.78 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $245.47 | Professional | 26 · Professional part | $54.95 | $79.43 | $245.47 |
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 $83.18 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $83.18 | $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 $61.66 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $26.30 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $104.71 | $104.71 |
Where Washington, DC sits
The same service costs 4.5 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· 46th of 51
$138
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.