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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $77.62 | $83.18 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $41.69 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $63.10 | Professional | TC · Technical part | $37.15 | $40.74 | $63.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $52.48 | $95.50 | $112.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $50.12 | Professional | 26 · Professional part | $43.65 | $48.98 | $50.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $46.77 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $245.47 | Professional | None (both parts) | $75.86 | $109.65 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $125.89 | Professional | 26 · Professional part | $38.90 | $56.23 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $37.15 | $53.70 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $204.17 | Professional | None | $85.11 | $100.00 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $288.40 | Professional | None (both parts) | $77.62 | $93.33 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $144.54 | Professional | 26 · Professional part | $37.15 | $50.12 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $141.25 | Professional | TC · Technical part | $38.02 | $48.98 | $141.25 |
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 $38.90 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $38.90 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $16.98 | Professional | 53 · Discontinued | $15.49 | $16.60 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $63.10 | $66.07 | $66.07 |
Where Washington, DC sits
The same service costs 4.2 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· 40th of 51
$93.33
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.