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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $151.36 | Professional | None (both parts) | $141.25 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $93.33 | Professional | 26 · Professional part | $87.10 | $89.13 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $54.95 | $60.26 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $63.10 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $63.10 | $158.49 | $190.55 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $114.82 | Professional | 26 · Professional part | $95.50 | $107.15 | $114.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | TC · Technical part | $70.79 | $70.79 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $346.74 | Professional | None (both parts) | $128.82 | $141.25 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $85.11 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $131.83 | Professional | TC · Technical part | $50.12 | $56.23 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $363.08 | Professional | None | $158.49 | $177.83 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $95.50 | $107.15 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $70.79 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $549.54 | Professional | None (both parts) | $134.90 | $169.82 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $295.12 | Professional | 26 · Professional part | $79.43 | $93.33 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $263.03 | Professional | TC · Technical part | $53.70 | $75.86 | $263.03 |
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 $70.79 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $70.79 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $112.20 | $117.49 | $117.49 |
Where Washington, DC sits
The same service costs 4.2 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· 45th of 51
$158
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.