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 $112.20 Median $281.84 Typical High $912.01 | Facility | None | $112.20 | $281.84 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $104.71 | $112.20 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $33.11 | $33.88 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $77.62 | $181.97 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $89.13 | $117.49 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $40.74 | $42.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $81.28 | $81.28 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $891.25 Typical High $1,000.00 | Facility | None | $363.08 | $891.25 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $331.13 | Professional | None (both parts) | $104.71 | $144.54 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $45.71 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $234.42 | Professional | TC · Technical part | $70.79 | $95.50 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $281.84 | Professional | None | $120.23 | $131.83 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $389.05 | Professional | None (both parts) | $104.71 | $134.90 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $120.23 | Professional | 26 · Professional part | $31.62 | $41.69 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $72.44 | $97.72 | $269.15 |
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 $51.29 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $89.13 | $89.13 |
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
$123
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.