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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $2,951.21 Typical High $4,073.80 | Professional | None (both parts) | $331.13 | $2,951.21 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $204.17 | Professional | 26 · Professional part | $79.43 | $81.28 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $2,884.03 Typical High $4,897.79 | Professional | TC · Technical part | $213.80 | $2,884.03 | $4,897.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $87.10 Median $3,467.37 Typical High $3,890.45 | Professional | None (both parts) | $87.10 | $3,467.37 | $3,890.45 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $97.72 | $97.72 | $158.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $3,388.44 Typical High $3,715.35 | Professional | TC · Technical part | $81.28 | $3,388.44 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $1,949.84 Typical High $25,118.86 | Facility | None | $208.93 | $1,949.84 | $25,118.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $602.56 | Professional | None (both parts) | $117.49 | $141.25 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $346.74 | Professional | 26 · Professional part | $77.62 | $95.50 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $213.80 | Professional | TC · Technical part | $40.74 | $48.98 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $316.23 | Professional | None | $275.42 | $295.12 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $2,089.30 Typical High $10,000.00 | Professional | None (both parts) | $95.50 | $2,089.30 | $10,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $123.03 Typical High $263.03 | Professional | 26 · Professional part | $61.66 | $123.03 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $1,995.26 Typical High $9,772.37 | Professional | TC · Technical part | $33.88 | $1,995.26 | $9,772.37 |
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 $1,258.93 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,258.93 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $501.19 | $588.84 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,137.96 Median $2,344.23 Typical High $2,344.23 | Professional | FX · Film X-ray | $2,137.96 | $2,344.23 | $2,344.23 |
Where Washington, DC sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 6th of 51
$2,089
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.