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 $53.70 Median $53.70 Typical High $58.88 | Facility | None | $53.70 | $53.70 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $42.66 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $11.48 | $12.02 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $30.90 | $33.88 | $50.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.88 Median $47.86 Typical High $53.70 | Professional | None (both parts) | $12.88 | $47.86 | $53.70 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $14.13 | $14.79 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $40.74 | Professional | TC · Technical part | $33.88 | $39.81 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $38.02 | $42.66 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $25.12 | Professional | 26 · Professional part | $10.23 | $11.22 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $27.54 | $31.62 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $75.86 | Professional | None | $50.12 | $56.23 | $75.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $15.49 | $20.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $35.48 | $41.69 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $104.71 | Professional | None (both parts) | $35.48 | $46.77 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $30.20 | Professional | 26 · Professional part | $10.00 | $13.49 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $75.86 | Professional | TC · Technical part | $24.55 | $32.36 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $77.62 | Professional | None (both parts) | $34.67 | $34.67 | $77.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $9.33 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $57.54 | Professional | TC · Technical part | $25.12 | $25.12 | $57.54 |
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 $21.38 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $21.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $9.33 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | FX · Film X-ray | $33.88 | $37.15 | $37.15 |
Where Maryland sits
The same service costs 4.1 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.
Maryland· 43rd 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.