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 $426.58 | Professional | None (both parts) | $398.11 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $117.49 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $281.84 | $302.00 | $302.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $208.93 Median $851.14 Typical High $1,047.13 | Professional | None (both parts) | $208.93 | $851.14 | $1,047.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $186.21 Typical High $194.98 | Professional | 26 · Professional part | $177.83 | $186.21 | $194.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $724.44 Typical High $977.24 | Professional | TC · Technical part | $380.19 | $724.44 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,258.93 Typical High $2,570.40 | Professional | None (both parts) | $1,071.52 | $1,258.93 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $295.12 | Professional | 26 · Professional part | $117.49 | $128.82 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,122.02 Typical High $2,344.23 | Professional | TC · Technical part | $977.24 | $1,122.02 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,698.24 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $239.88 | Professional | 26 · Professional part | $162.18 | $186.21 | $239.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,513.56 Typical High $2,041.74 | Professional | TC · Technical part | $1,258.93 | $1,513.56 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $562.34 Typical High $1,479.11 | Professional | None (both parts) | $151.36 | $562.34 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $154.88 Typical High $371.54 | Professional | 26 · Professional part | $57.54 | $154.88 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $426.58 Typical High $1,122.02 | Professional | TC · Technical part | $93.33 | $426.58 | $1,122.02 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $741.31 Median $954.99 Typical High $1,047.13 | Professional | None (both parts) | $741.31 | $954.99 | $1,047.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $234.42 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $234.42 | $245.47 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $954.99 | Professional | TC · Technical part | $204.17 | $204.17 | $954.99 |
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 $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $338.84 | $338.84 |
Where Maryland sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 20th of 51
$851
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.