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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $102.33 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $60.26 | Professional | 26 · Professional part | $54.95 | $56.23 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $53.70 | $53.70 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $56.23 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $56.23 | $117.49 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $67.61 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | TC · Technical part | $63.10 | $63.10 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $93.33 | $102.33 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $53.70 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $50.12 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $263.03 | Professional | None | $114.82 | $128.82 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $66.07 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $61.66 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $398.11 | Professional | None (both parts) | $100.00 | $120.23 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $186.21 | Professional | 26 · Professional part | $50.12 | $60.26 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $208.93 | Professional | TC · Technical part | $48.98 | $60.26 | $208.93 |
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 $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $20.89 | $21.88 | $21.88 |
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 4.5 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· 47th 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.