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 $48.98 Median $48.98 Typical High $56.23 | Facility | None | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $39.81 | $42.66 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $10.47 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $29.51 | $32.36 | $54.95 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $50.12 | Professional | None (both parts) | $42.66 | $45.71 | $50.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $12.30 | Professional | 26 · Professional part | $11.22 | $11.48 | $12.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $38.02 | Professional | TC · Technical part | $34.67 | $37.15 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $35.48 | $40.74 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $20.89 | Professional | 26 · Professional part | $9.12 | $10.00 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $30.20 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $72.44 | Professional | None | $46.77 | $53.70 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $11.75 | $12.88 | $17.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $53.70 | Professional | TC · Technical part | $35.48 | $40.74 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $100.00 | Professional | None (both parts) | $34.67 | $43.65 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $25.70 | Professional | 26 · Professional part | $8.32 | $11.75 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $72.44 | Professional | TC · Technical part | $25.12 | $32.36 | $72.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $74.13 | Professional | None (both parts) | $36.31 | $36.31 | $74.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $17.78 | Professional | 26 · Professional part | $9.12 | $9.12 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $26.92 | $56.23 |
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 $19.50 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | FX · Film X-ray | $31.62 | $33.88 | $33.88 |
Where Maryland sits
The same service costs 3.9 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· 39th of 51
$45.71
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.