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 $66.07 Median $66.07 Typical High $1,288.25 | Facility | None | $66.07 | $66.07 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $60.26 | $66.07 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $24.55 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $64.57 | Professional | TC · Technical part | $38.02 | $41.69 | $64.57 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.30 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $26.30 | $47.86 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $891.25 | Facility | None | $194.98 | $489.78 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $61.66 | $89.13 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $33.11 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $114.82 | Professional | TC · Technical part | $38.02 | $54.95 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $162.18 | Professional | None | $67.61 | $79.43 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $234.42 | Professional | None (both parts) | $58.88 | $74.13 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $87.10 | Professional | 26 · Professional part | $21.88 | $29.51 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $147.91 | Professional | TC · Technical part | $36.31 | $47.86 | $147.91 |
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 $30.20 Median $33.11 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.18 Typical High $13.49 | Professional | 53 · Discontinued | $12.02 | $13.18 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $48.98 | $52.48 | $52.48 |
Where Washington, DC sits
The same service costs 4.4 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· 46th of 51
$67.61
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.