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 $398.11 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $398.11 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $112.20 | $125.89 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $302.00 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $223.87 | $302.00 | $346.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | 26 · Professional part | $77.62 | $77.62 | $87.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $251.19 Typical High $288.40 | Professional | TC · Technical part | $223.87 | $251.19 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $204.17 | $407.38 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $53.70 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $151.36 | $316.23 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $467.74 | Professional | None | $239.88 | $275.42 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $199.53 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $213.80 | $331.13 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $64.57 Typical High $154.88 | Professional | 26 · Professional part | $30.20 | $64.57 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $588.84 | Professional | TC · Technical part | $173.78 | $263.03 | $588.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $239.88 | $239.88 | $371.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $63.10 | $97.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $173.78 | $173.78 | $275.42 |
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 $199.53 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $323.59 | $338.84 |
Where Maryland sits
The same service costs 5.8 times more in Wyoming 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· 40th of 51
$339
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.