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 $70.79 Median $70.79 Typical High $194.98 | Facility | None | $70.79 | $70.79 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $66.07 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $28.84 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $38.90 | $42.66 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $75.86 Typical High $109.65 | Professional | None (both parts) | $34.67 | $75.86 | $109.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $30.90 | $38.02 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $48.98 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $512.86 Typical High $891.25 | Facility | None | $199.53 | $512.86 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $66.07 | $100.00 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $38.90 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $38.90 | $60.26 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $181.97 | Professional | None | $81.28 | $87.10 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $251.19 | Professional | None (both parts) | $69.18 | $100.00 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $102.33 | Professional | 26 · Professional part | $26.30 | $37.15 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $158.49 | Professional | TC · Technical part | $43.65 | $64.57 | $158.49 |
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 $33.11 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $13.18 | $14.13 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $56.23 | $57.54 | $57.54 |
Where Washington, DC sits
The same service costs 3.7 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· 43rd of 51
$83.18
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.