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 $112.20 Median $112.20 Typical High $331.13 | Facility | None | $112.20 | $112.20 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $102.33 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $30.20 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $81.28 | $138.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $32.36 | $114.82 | $138.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $36.31 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $83.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $1,949.84 | Facility | None | $371.54 | $954.99 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $309.03 | Professional | None (both parts) | $102.33 | $128.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $28.84 | $40.74 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $229.09 | Professional | TC · Technical part | $67.61 | $91.20 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $275.42 | Professional | None | $114.82 | $134.90 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $389.05 | Professional | None (both parts) | $97.72 | $120.23 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $107.15 | Professional | 26 · Professional part | $27.54 | $37.15 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $281.84 | Professional | TC · Technical part | $70.79 | $89.13 | $281.84 |
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 $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $89.13 | $89.13 |
Where Washington, DC sits
The same service costs 3.9 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· 43rd of 51
$115
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.