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 $28.84 Median $39.81 Typical High $57.54 | Facility | None | $28.84 | $39.81 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $28.84 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $7.76 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $23.44 | $38.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.33 Median $33.88 Typical High $37.15 | Professional | None (both parts) | $9.33 | $33.88 | $37.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $7.94 | $8.32 | $8.32 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.12 Typical High $28.18 | Professional | TC · Technical part | $23.99 | $25.12 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $25.70 | $30.20 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.41 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $7.41 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $18.62 | $22.39 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $52.48 | Professional | None | $33.88 | $39.81 | $52.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $8.91 | $10.00 | $13.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $38.90 | Professional | TC · Technical part | $24.55 | $28.84 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $70.79 | Professional | None (both parts) | $22.91 | $30.90 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $17.78 | Professional | 26 · Professional part | $6.31 | $8.13 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.39 Typical High $51.29 | Professional | TC · Technical part | $15.49 | $22.39 | $51.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $54.95 | Professional | None (both parts) | $21.88 | $21.88 | $54.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $13.80 | Professional | 26 · Professional part | $5.62 | $5.62 | $13.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $16.22 | $40.74 |
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 $14.45 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $23.44 | $25.12 | $25.12 |
Where Maryland sits
The same service costs 4.1 times more in Alaska than in New York. 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.
Maryland· 41st of 51
$31.62
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.