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 $77.62 Median $186.21 Typical High $229.09 | Facility | None | $77.62 | $186.21 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $190.55 | Professional | None (both parts) | $72.44 | $77.62 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $27.54 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $50.12 | $114.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $32.36 | $81.28 | $104.71 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $29.51 | $60.26 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $52.48 | $52.48 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $891.25 | Facility | None | $234.42 | $588.84 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $72.44 | $100.00 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $36.31 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $147.91 | Professional | TC · Technical part | $46.77 | $61.66 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $190.55 | Professional | None | $79.43 | $93.33 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $269.15 | Professional | None (both parts) | $72.44 | $89.13 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $95.50 | Professional | 26 · Professional part | $24.55 | $33.11 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $173.78 | Professional | TC · Technical part | $45.71 | $58.88 | $173.78 |
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 $36.31 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | FX · Film X-ray | $57.54 | $61.66 | $61.66 |
Where Washington, DC sits
The same service costs 3.6 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
$81.28
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.