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 $537.03 Median $537.03 Typical High $588.84 | Facility | None | $537.03 | $537.03 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $398.11 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $117.49 | $125.89 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $281.84 | $302.00 | $389.05 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $363.08 Median $407.38 Typical High $446.68 | Professional | None (both parts) | $363.08 | $407.38 | $446.68 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | 26 · Professional part | $102.33 | $104.71 | $114.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $288.40 Typical High $316.23 | Professional | TC · Technical part | $263.03 | $288.40 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $245.47 | $467.74 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $72.44 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $741.31 | Professional | TC · Technical part | $177.83 | $338.84 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $575.44 | Professional | None | $288.40 | $331.13 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $97.72 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $204.17 | $234.42 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $812.83 | Professional | None (both parts) | $245.47 | $398.11 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $87.10 Typical High $204.17 | Professional | 26 · Professional part | $42.66 | $87.10 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $302.00 | $660.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $288.40 | $288.40 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $85.11 | $128.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $199.53 | $199.53 | $323.59 |
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 5.8 times more in Wyoming 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· 40th of 51
$398
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.