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 $114.82 Median $288.40 Typical High $602.56 | Facility | None | $114.82 | $288.40 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $107.15 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $29.51 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $77.62 | $87.10 | $151.36 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $100.00 Typical High $131.83 | Professional | None (both parts) | $31.62 | $100.00 | $131.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $89.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $891.25 Typical High $1,122.02 | Facility | None | $398.11 | $891.25 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $102.33 | $131.83 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $27.54 | $38.02 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $218.78 | Professional | TC · Technical part | $69.18 | $97.72 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $281.84 | Professional | None | $114.82 | $134.90 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $398.11 | Professional | None (both parts) | $97.72 | $125.89 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $102.33 | Professional | 26 · Professional part | $26.30 | $35.48 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $302.00 | Professional | TC · Technical part | $72.44 | $89.13 | $302.00 |
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 $51.29 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $85.11 | $93.33 | $93.33 |
Where Washington, DC sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$120
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.