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 $107.15 Median $257.04 Typical High $302.00 | Facility | None | $107.15 | $257.04 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $257.04 | Professional | None (both parts) | $100.00 | $107.15 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $24.55 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $83.18 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $95.50 | $112.20 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $33.88 | Professional | 26 · Professional part | $25.70 | $28.18 | $33.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $85.11 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $891.25 Typical High $1,071.52 | Facility | None | $389.05 | $891.25 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $302.00 | Professional | None (both parts) | $95.50 | $123.03 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $72.44 | Professional | 26 · Professional part | $22.91 | $30.90 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $239.88 | Professional | TC · Technical part | $67.61 | $95.50 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $269.15 | Professional | None | $114.82 | $125.89 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $371.54 | Professional | None (both parts) | $93.33 | $117.49 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $83.18 | Professional | 26 · Professional part | $21.38 | $28.84 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $288.40 | Professional | TC · Technical part | $70.79 | $89.13 | $288.40 |
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 $46.77 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $87.10 | $87.10 |
Where Washington, DC sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 41st of 51
$112
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.