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 $28.84 Median $30.90 Typical High $36.31 | Professional | None (both parts) | $28.84 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $8.91 | Professional | 26 · Professional part | $7.24 | $7.59 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $26.92 | Professional | TC · Technical part | $21.38 | $23.44 | $26.92 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.91 Median $31.62 Typical High $36.31 | Professional | None (both parts) | $8.91 | $31.62 | $36.31 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $9.12 | Professional | 26 · Professional part | $7.94 | $7.94 | $9.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.12 Typical High $26.30 | Professional | TC · Technical part | $23.44 | $25.12 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $29.51 Typical High $57.54 | Professional | None (both parts) | $25.70 | $29.51 | $57.54 |
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 $19.50 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $22.39 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $52.48 | Professional | None | $34.67 | $38.90 | $52.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $13.18 | Professional | 26 · Professional part | $8.71 | $10.00 | $13.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $29.51 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $72.44 | Professional | None (both parts) | $23.99 | $31.62 | $72.44 |
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 $17.38 Median $22.91 Typical High $52.48 | Professional | TC · Technical part | $17.38 | $22.91 | $52.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $53.70 | Professional | None (both parts) | $23.99 | $23.99 | $53.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $13.18 | Professional | 26 · Professional part | $6.03 | $6.03 | $13.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $18.20 | $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 $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.45 | $15.49 | $15.49 |
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 $22.91 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $25.12 | $25.12 |
Where Maryland sits
The same service costs 3.5 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· 47th of 51
$30.90
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.