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 $54.95 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $54.95 | $60.26 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $13.18 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $42.66 | $46.77 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $58.88 | $63.10 | $70.79 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $14.13 | $15.49 | $15.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $51.29 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $48.98 | $56.23 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.59 Typical High $29.51 | Professional | 26 · Professional part | $11.48 | $12.59 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $85.11 | Professional | TC · Technical part | $37.15 | $43.65 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $100.00 | Professional | None | $66.07 | $77.62 | $100.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $17.38 | $22.39 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $51.29 | $60.26 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $63.10 Typical High $138.04 | Professional | None (both parts) | $48.98 | $63.10 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $34.67 | Professional | 26 · Professional part | $12.02 | $15.85 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $104.71 | Professional | TC · Technical part | $37.15 | $46.77 | $104.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $53.70 | $53.70 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $12.59 | $22.91 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $81.28 | Professional | TC · Technical part | $41.69 | $41.69 | $81.28 |
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 $27.54 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | FX · Film X-ray | $43.65 | $47.86 | $47.86 |
Where Maryland sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 43rd of 51
$63.10
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.