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 $56.23 Median $134.90 Typical High $169.82 | Facility | None | $56.23 | $134.90 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $52.48 | $56.23 | $134.90 |
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 $27.54 Median $31.62 Typical High $83.18 | Professional | TC · Technical part | $27.54 | $31.62 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.30 Median $60.26 Typical High $83.18 | Professional | None (both parts) | $26.30 | $60.26 | $83.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $54.95 | Professional | TC · Technical part | $34.67 | $38.90 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $389.05 Typical High $891.25 | Facility | None | $154.88 | $389.05 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $81.28 Typical High $186.21 | Professional | None (both parts) | $52.48 | $81.28 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $32.36 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $141.25 | Professional | TC · Technical part | $29.51 | $44.67 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $144.54 | Professional | None | $64.57 | $69.18 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $199.53 | Professional | None (both parts) | $53.70 | $83.18 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $85.11 | Professional | 26 · Professional part | $22.91 | $29.51 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $44.67 Typical High $112.20 | Professional | TC · Technical part | $27.54 | $44.67 | $112.20 |
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 $28.18 Typical High $31.62 | Professional | 52 · Reduced service | $25.12 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.22 Typical High $12.59 | Professional | 53 · Discontinued | $10.00 | $11.22 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | FX · Film X-ray | $41.69 | $44.67 | $44.67 |
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· 45th of 51
$60.26
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.