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 $58.88 Median $64.57 Typical High $93.33 | Facility | None | $58.88 | $64.57 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $47.86 | $51.29 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $22.91 | Professional | 26 · Professional part | $11.22 | $11.75 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $36.31 | $39.81 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $47.86 | $54.95 | $61.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 26 · Professional part | $12.59 | $13.80 | $15.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $40.74 | $42.66 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $42.66 | $48.98 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $26.92 | Professional | 26 · Professional part | $10.00 | $11.22 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $74.13 | Professional | TC · Technical part | $30.90 | $38.02 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $89.13 | Professional | None | $58.88 | $67.61 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $15.49 | $20.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $52.48 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $117.49 | Professional | None (both parts) | $39.81 | $51.29 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $30.90 | Professional | 26 · Professional part | $10.96 | $13.80 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $85.11 | Professional | TC · Technical part | $28.84 | $36.31 | $85.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $93.33 | Professional | None (both parts) | $39.81 | $39.81 | $93.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $9.33 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $72.44 | Professional | TC · Technical part | $30.90 | $30.90 | $72.44 |
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 $23.44 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $23.44 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.55 | $10.23 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | FX · Film X-ray | $38.02 | $41.69 | $41.69 |
Where Maryland sits
The same service costs 4.8 times more in Alaska 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· 41st of 51
$52.48
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.