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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $34.67 | $36.31 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $204.17 | $229.09 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $223.87 Median $331.13 Typical High $354.81 | Professional | None (both parts) | $223.87 | $331.13 | $354.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $44.67 | Professional | 26 · Professional part | $38.02 | $42.66 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $257.04 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $707.95 Typical High $1,949.84 | Facility | None | $269.15 | $707.95 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $177.83 | Professional | None (both parts) | $79.43 | $87.10 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $31.62 | $33.88 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $104.71 | Professional | TC · Technical part | $46.77 | $53.70 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $223.87 | Professional | None | $102.33 | $112.20 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $44.67 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $61.66 | $69.18 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $263.03 Typical High $891.25 | Professional | None (both parts) | $81.28 | $263.03 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $120.23 | Professional | 26 · Professional part | $30.90 | $38.02 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $229.09 Typical High $776.25 | Professional | TC · Technical part | $48.98 | $229.09 | $776.25 |
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 $107.15 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $173.78 | $190.55 | $190.55 |
Where Washington, DC sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 17th of 51
$240
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.