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 $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.31 Median $6.76 Typical High $7.08 | Professional | None (both parts) | $6.31 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $2.40 Typical High $2.69 | Professional | 26 · Professional part | $2.34 | $2.40 | $2.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $4.27 Typical High $4.27 | Professional | TC · Technical part | $3.98 | $4.27 | $4.27 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $4.79 Median $7.41 Typical High $32.36 | Professional | None (both parts) | $4.79 | $7.41 | $32.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $2.82 Typical High $3.02 | Professional | 26 · Professional part | $2.57 | $2.82 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $57.54 Typical High $891.25 | Facility | None | $21.88 | $57.54 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.61 Median $11.22 Typical High $35.48 | Professional | None (both parts) | $6.61 | $11.22 | $35.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $3.24 Typical High $10.23 | Professional | 26 · Professional part | $2.29 | $3.24 | $10.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $7.08 Typical High $32.36 | Professional | TC · Technical part | $4.27 | $7.08 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $17.78 | Professional | None | $8.32 | $8.71 | $17.78 |
United Setting Professional Modifier None (both parts) Typical Low $6.76 Median $11.75 Typical High $25.70 | Professional | None (both parts) | $6.76 | $11.75 | $25.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.14 Median $3.47 Typical High $8.91 | Professional | 26 · Professional part | $2.14 | $3.47 | $8.91 |
United Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $8.32 Typical High $16.98 | Professional | TC · Technical part | $4.27 | $8.32 | $16.98 |
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 $3.16 Median $3.39 Typical High $3.55 | Professional | 52 · Reduced service | $3.16 | $3.39 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.35 Typical High $1.41 | Professional | 53 · Discontinued | $1.26 | $1.35 | $1.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.01 Median $5.37 Typical High $5.37 | Professional | FX · Film X-ray | $5.01 | $5.37 | $5.37 |
Where Washington, DC sits
The same service costs 4.2 times more in Kansas 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
$7.41
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.