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 $46.77 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $46.77 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.23 Typical High $13.18 | Professional | 26 · Professional part | $9.77 | $10.23 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $37.15 | $40.74 | $51.29 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.02 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $12.02 | $51.29 | $60.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $12.88 | Professional | 26 · Professional part | $10.72 | $10.96 | $12.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $40.74 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $42.66 | $47.86 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $9.77 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $38.90 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | None | $56.23 | $64.57 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $11.75 | $13.49 | $17.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $43.65 | $52.48 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $117.49 | Professional | None (both parts) | $38.02 | $51.29 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $26.30 | Professional | 26 · Professional part | $8.71 | $11.75 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $91.20 | Professional | TC · Technical part | $28.84 | $38.90 | $91.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $89.13 | Professional | None (both parts) | $38.02 | $38.02 | $89.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $7.94 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $30.20 | $72.44 |
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 $23.44 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $23.44 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.33 | $10.23 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $38.02 | $40.74 | $40.74 |
Where Maryland sits
The same service costs 4.5 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· 42nd of 51
$50.12
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.