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 $275.42 Median $288.40 Typical High $537.03 | Facility | None | $275.42 | $288.40 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $371.54 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $104.71 | $125.89 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $275.42 | $302.00 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $85.11 Median $309.03 Typical High $346.74 | Professional | None (both parts) | $85.11 | $309.03 | $346.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $79.43 | $95.50 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $218.78 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $416.87 Typical High $851.14 | Professional | None (both parts) | $204.17 | $416.87 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $58.88 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $323.59 Typical High $630.96 | Professional | TC · Technical part | $147.91 | $323.59 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $478.63 | Professional | None | $239.88 | $275.42 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $77.62 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $199.53 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $218.78 | $338.84 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $70.79 Typical High $169.82 | Professional | 26 · Professional part | $32.36 | $70.79 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $269.15 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $269.15 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $239.88 | $239.88 | $380.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $69.18 | $104.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $169.82 | $169.82 | $275.42 |
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 6.0 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
$339
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.