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 $42.66 Median $46.77 Typical High $67.61 | Facility | None | $42.66 | $46.77 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $33.88 | $37.15 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $7.59 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $26.92 | $29.51 | $53.70 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.94 Median $36.31 Typical High $42.66 | Professional | None (both parts) | $7.94 | $36.31 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.91 | $8.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $27.54 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $67.61 | Professional | None (both parts) | $30.20 | $33.88 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $15.49 | Professional | 26 · Professional part | $6.46 | $7.08 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $26.92 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $60.26 | Professional | None | $38.90 | $45.71 | $60.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $13.18 | Professional | 26 · Professional part | $8.71 | $9.77 | $13.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $29.51 | $35.48 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $83.18 | Professional | None (both parts) | $25.70 | $36.31 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.51 Typical High $18.62 | Professional | 26 · Professional part | $6.31 | $8.51 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $63.10 | Professional | TC · Technical part | $19.05 | $26.92 | $63.10 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $63.10 | Professional | None (both parts) | $25.70 | $25.70 | $63.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $13.18 | Professional | 26 · Professional part | $5.62 | $5.62 | $13.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $50.12 | Professional | TC · Technical part | $20.42 | $20.42 | $50.12 |
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 $16.98 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $16.98 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.76 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $27.54 | $29.51 | $29.51 |
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· 42nd of 51
$36.31
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.