How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $34.67 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $8.32 | Professional | 26 · Professional part | $7.59 | $7.76 | $8.32 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $26.92 | $29.51 | $29.51 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $43.65 | Professional | None (both parts) | $37.15 | $38.90 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $9.33 | Professional | 26 · Professional part | $8.32 | $9.12 | $9.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $30.90 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $69.18 | Professional | None (both parts) | $30.90 | $34.67 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.41 Typical High $16.22 | Professional | 26 · Professional part | $6.76 | $7.41 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $27.54 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $61.66 | Professional | None | $40.74 | $46.77 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $8.91 | $10.47 | $13.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $37.15 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $83.18 | Professional | None (both parts) | $26.92 | $36.31 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.91 Typical High $19.50 | Professional | 26 · Professional part | $6.61 | $8.91 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $27.54 Typical High $63.10 | Professional | TC · Technical part | $19.95 | $27.54 | $63.10 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $64.57 | Professional | None (both parts) | $26.92 | $26.92 | $64.57 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $13.80 | Professional | 26 · Professional part | $5.89 | $5.89 | $13.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $20.89 | $51.29 |
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 $17.38 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $17.38 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.92 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $27.54 | $30.20 | $30.20 |
Where Maryland sits
The same service costs 3.9 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.
Maryland· 36th of 51
$38.90
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.