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 $251.19 Median $251.19 Typical High $1,445.44 | Facility | None | $251.19 | $251.19 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $218.78 | $251.19 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $67.61 | $69.18 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $181.97 | $281.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $74.13 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $74.13 | $245.47 | $288.40 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $79.43 | $83.18 | $109.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $204.17 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,137.96 Typical High $4,265.80 | Facility | None | $831.76 | $2,137.96 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $676.08 | Professional | None (both parts) | $186.21 | $257.04 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $213.80 | Professional | 26 · Professional part | $66.07 | $93.33 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $114.82 | $173.78 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $616.60 | Professional | None | $257.04 | $302.00 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $870.96 | Professional | None (both parts) | $173.78 | $275.42 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $245.47 | Professional | 26 · Professional part | $63.10 | $83.18 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $194.98 Typical High $630.96 | Professional | TC · Technical part | $109.65 | $194.98 | $630.96 |
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 $107.15 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $186.21 | $199.53 | $199.53 |
Where Washington, DC sits
The same service costs 5.0 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· 40th of 51
$257
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.