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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $60.26 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.02 | $12.88 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $75.86 | $85.11 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $89.13 | Professional | None (both parts) | $38.02 | $38.02 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $724.44 Typical High $1,737.80 | Facility | None | $295.12 | $724.44 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $97.72 Typical High $467.74 | Professional | None (both parts) | $54.95 | $97.72 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $34.67 Typical High $158.49 | Professional | 26 · Professional part | $19.50 | $34.67 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $63.10 Typical High $316.23 | Professional | TC · Technical part | $36.31 | $63.10 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $234.42 | Professional | None | $158.49 | $223.87 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,041.74 |
1 more rate 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 FX · Film X-ray Typical Low $47.86 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $47.86 | $52.48 | $52.48 |
Where Washington, DC sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 34th of 51
$79.43
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.