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 $37.15 Median $91.20 Typical High $112.20 | Facility | None | $37.15 | $91.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $93.33 | Professional | None (both parts) | $30.90 | $37.15 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $32.36 | Professional | 26 · Professional part | $12.30 | $12.59 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $63.10 | Professional | TC · Technical part | $18.20 | $25.12 | $63.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $14.13 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $14.13 | $38.90 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $12.59 | $12.59 | $15.14 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $28.84 | Professional | TC · Technical part | $19.50 | $27.54 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $91.20 | Professional | None (both parts) | $30.90 | $39.81 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $37.15 | Professional | 26 · Professional part | $11.22 | $16.22 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $72.44 | Professional | TC · Technical part | $19.50 | $23.44 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $93.33 | Professional | None | $42.66 | $46.77 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $128.82 | Professional | None (both parts) | $29.51 | $37.15 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $42.66 | Professional | 26 · Professional part | $12.02 | $14.79 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $85.11 | Professional | TC · Technical part | $17.38 | $22.39 | $85.11 |
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 $15.14 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.03 | $7.59 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $26.30 | $30.20 | $30.20 |
Where Washington, DC sits
The same service costs 4.1 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· 34th of 51
$38.90
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.