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 $380.19 Median $537.03 Typical High $851.14 | Facility | None | $380.19 | $537.03 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $389.05 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $117.49 | $125.89 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $281.84 | $302.00 | $489.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $323.59 | $426.58 | $489.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | 26 · Professional part | $131.83 | $138.04 | $147.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $288.40 | $295.12 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $1,258.93 | Professional | None (both parts) | $281.84 | $562.34 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $93.33 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $389.05 Typical High $1,071.52 | Professional | TC · Technical part | $194.98 | $389.05 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $707.95 | Professional | None | $338.84 | $389.05 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $109.65 | $123.03 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $263.03 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $512.86 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $109.65 Typical High $263.03 | Professional | 26 · Professional part | $52.48 | $109.65 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $371.54 Typical High $851.14 | Professional | TC · Technical part | $223.87 | $371.54 | $851.14 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $338.84 | $338.84 | $524.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $109.65 | $165.96 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $223.87 | $223.87 | $363.08 |
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 6.6 times more in Vermont 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
$427
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.