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 $398.11 Typical High $426.58 | Professional | None (both parts) | $398.11 | $398.11 | $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 $281.84 Typical High $302.00 | Professional | TC · Technical part | $281.84 | $281.84 | $302.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $275.42 | $446.68 | $489.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | 26 · Professional part | $194.98 | $194.98 | $218.78 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $245.47 | $245.47 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $2,630.27 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $134.90 Typical High $295.12 | Professional | 26 · Professional part | $123.03 | $134.90 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,174.90 Typical High $2,344.23 | Professional | TC · Technical part | $1,023.29 | $1,174.90 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,737.80 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $245.47 | Professional | 26 · Professional part | $162.18 | $186.21 | $245.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,548.82 Typical High $2,041.74 | Professional | TC · Technical part | $1,288.25 | $1,548.82 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $354.81 Typical High $831.76 | Professional | None (both parts) | $162.18 | $354.81 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $158.49 Typical High $380.19 | Professional | 26 · Professional part | $60.26 | $158.49 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $199.53 Typical High $524.81 | Professional | TC · Technical part | $100.00 | $199.53 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $186.21 | $346.74 | $398.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $234.42 Typical High $245.47 | Professional | 26 · Professional part | $125.89 | $234.42 | $245.47 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $229.09 | $229.09 | $309.03 |
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 13.5 times more in Wyoming than in Washington. 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
$447
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.