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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $50.12 | $53.70 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $31.62 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $19.50 | $21.38 | $41.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $24.55 | $56.23 | $97.72 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $38.02 | $47.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $85.11 | Professional | TC · Technical part | $22.39 | $22.39 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $257.04 Typical High $891.25 | Facility | None | $100.00 | $257.04 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $50.12 | $95.50 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $30.20 | $46.77 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $42.66 Typical High $102.33 | Professional | TC · Technical part | $19.95 | $42.66 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $134.90 | Professional | None | $60.26 | $64.57 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $199.53 | Professional | None (both parts) | $53.70 | $77.62 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $117.49 | Professional | 26 · Professional part | $30.90 | $42.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.90 Typical High $79.43 | Professional | TC · Technical part | $22.91 | $38.90 | $79.43 |
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 $25.12 Median $26.92 Typical High $38.90 | Professional | 52 · Reduced service | $25.12 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $15.49 | Professional | 53 · Discontinued | $10.00 | $10.72 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $42.66 | $42.66 | $42.66 |
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· 47th of 51
$58.88
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.