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 $151.36 Median $363.08 Typical High $537.03 | Facility | None | $151.36 | $363.08 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $120.23 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $54.95 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $95.50 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $120.23 | $138.04 | $204.17 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $60.26 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,659.59 | Facility | None | $549.54 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $120.23 | $169.82 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $154.88 | Professional | 26 · Professional part | $50.12 | $64.57 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $275.42 | Professional | TC · Technical part | $66.07 | $109.65 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $416.87 | Professional | None | $204.17 | $218.78 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $575.44 | Professional | None (both parts) | $104.71 | $147.91 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $194.98 | Professional | 26 · Professional part | $42.66 | $60.26 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $389.05 | Professional | TC · Technical part | $63.10 | $89.13 | $389.05 |
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 $54.95 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $22.39 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $120.23 | $120.23 |
Where Washington, DC sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 37th of 51
$151
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.