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 $15.85 Median $16.98 Typical High $23.99 | Professional | None (both parts) | $15.85 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $8.71 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $8.32 Typical High $11.75 | Professional | TC · Technical part | $7.59 | $8.32 | $11.75 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.02 Median $19.05 Typical High $20.89 | Professional | None (both parts) | $12.02 | $19.05 | $20.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $9.55 | $10.72 | $10.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $10.47 Typical High $10.47 | Professional | TC · Technical part | $9.33 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $17.38 Typical High $41.69 | Professional | None (both parts) | $15.14 | $17.38 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $19.95 | Professional | 26 · Professional part | $7.76 | $8.51 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.32 Typical High $21.88 | Professional | TC · Technical part | $7.24 | $8.32 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $31.62 | Professional | None | $20.89 | $23.99 | $31.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $10.47 | $12.02 | $15.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $12.30 Typical High $15.85 | Professional | TC · Technical part | $10.47 | $12.30 | $15.85 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $22.91 Typical High $44.67 | Professional | None (both parts) | $15.85 | $22.91 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $22.91 | Professional | 26 · Professional part | $7.59 | $10.23 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $11.48 Typical High $22.39 | Professional | TC · Technical part | $7.59 | $11.48 | $22.39 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $31.62 | Professional | None (both parts) | $19.50 | $19.50 | $31.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $10.00 | $15.85 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | TC · Technical part | $9.33 | $9.33 | $15.85 |
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 $7.94 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.16 | $3.39 | $3.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | FX · Film X-ray | $12.59 | $13.49 | $13.49 |
Where Maryland sits
The same service costs 3.6 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· 48th of 51
$19.50
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.