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 $43.65 Median $104.71 Typical High $128.82 | Facility | None | $43.65 | $104.71 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $107.15 | Professional | None (both parts) | $39.81 | $43.65 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $32.36 | Professional | 26 · Professional part | $11.22 | $11.75 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $79.43 | Professional | TC · Technical part | $25.70 | $31.62 | $79.43 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $38.02 | $45.71 | $56.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.49 Typical High $13.80 | Professional | 26 · Professional part | $12.59 | $13.49 | $13.80 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | TC · Technical part | $33.88 | $33.88 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $389.05 Typical High $891.25 | Facility | None | $151.36 | $389.05 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $181.97 | Professional | None (both parts) | $38.90 | $45.71 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $48.98 | Professional | 26 · Professional part | $11.22 | $15.49 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $131.83 | Professional | TC · Technical part | $25.70 | $31.62 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $107.15 | Professional | None | $48.98 | $51.29 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $53.70 Typical High $141.25 | Professional | None (both parts) | $30.90 | $53.70 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.60 Typical High $38.02 | Professional | 26 · Professional part | $10.47 | $16.60 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $37.15 Typical High $102.33 | Professional | TC · Technical part | $19.95 | $37.15 | $102.33 |
2 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 $19.95 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $32.36 | $34.67 | $34.67 |
Where Washington, DC sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 36th of 51
$45.71
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.