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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $85.11 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $33.11 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $58.88 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $95.50 | $104.71 | $120.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $35.48 | $39.81 | $39.81 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $66.07 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $75.86 | $85.11 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $31.62 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $128.82 | Professional | TC · Technical part | $45.71 | $52.48 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $213.80 | Professional | None | $91.20 | $102.33 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $263.03 | Professional | None (both parts) | $81.28 | $95.50 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $95.50 | Professional | 26 · Professional part | $27.54 | $31.62 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $63.10 | $162.18 |
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 $42.66 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.98 | $18.20 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $67.61 | $72.44 | $72.44 |
Where Washington, DC sits
The same service costs 4.5 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· 47th of 51
$95.50
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.