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 $97.72 Median $234.42 Typical High $275.42 | Facility | None | $97.72 | $234.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $89.13 | $97.72 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $27.54 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $70.79 | $138.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $28.84 | $102.33 | $112.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $30.90 | $31.62 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $87.10 | Professional | TC · Technical part | $72.44 | $81.28 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $794.33 Typical High $912.01 | Facility | None | $323.59 | $794.33 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $288.40 | Professional | None (both parts) | $85.11 | $107.15 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $81.28 | Professional | 26 · Professional part | $25.70 | $35.48 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $208.93 | Professional | TC · Technical part | $52.48 | $69.18 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $234.42 | Professional | None | $95.50 | $112.20 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $338.84 | Professional | None (both parts) | $91.20 | $120.23 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $93.33 | Professional | 26 · Professional part | $25.12 | $32.36 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $239.88 | Professional | TC · Technical part | $64.57 | $87.10 | $239.88 |
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 $44.67 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $44.67 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $19.50 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $77.62 | $77.62 |
Where Washington, DC sits
The same service costs 4.2 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· 39th of 51
$102
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.