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 $57.54 Median $57.54 Typical High $162.18 | Facility | None | $57.54 | $57.54 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $57.54 Typical High $138.04 | Professional | None (both parts) | $52.48 | $57.54 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $21.88 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $72.44 | Professional | TC · Technical part | $31.62 | $34.67 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $23.44 | $60.26 | $70.79 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $43.65 | Professional | TC · Technical part | $37.15 | $39.81 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $407.38 Typical High $4,265.80 | Facility | None | $165.96 | $407.38 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $74.13 Typical High $239.88 | Professional | None (both parts) | $48.98 | $74.13 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $93.33 | Professional | 26 · Professional part | $20.89 | $29.51 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $144.54 | Professional | TC · Technical part | $28.84 | $41.69 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $138.04 | Professional | None | $61.66 | $63.10 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $181.97 | Professional | None (both parts) | $50.12 | $77.62 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $70.79 | Professional | 26 · Professional part | $20.89 | $30.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $112.20 | Professional | TC · Technical part | $28.84 | $40.74 | $112.20 |
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 $26.30 Median $28.18 Typical High $28.84 | Professional | 52 · Reduced service | $26.30 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $10.72 | $11.48 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $42.66 | $45.71 | $45.71 |
Where Washington, DC sits
The same service costs 3.8 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· 42nd of 51
$60.26
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.