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 $398.11 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $398.11 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $117.49 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $281.84 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $416.87 | Professional | None (both parts) | $288.40 | $363.08 | $416.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $100.00 | $100.00 | $112.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $257.04 | $257.04 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $489.78 Typical High $977.24 | Professional | None (both parts) | $239.88 | $489.78 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $69.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $173.78 | $354.81 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $562.34 | Professional | None | $288.40 | $331.13 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $93.33 | $123.03 |
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 $257.04 Median $407.38 Typical High $831.76 | Professional | None (both parts) | $257.04 | $407.38 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $79.43 Typical High $199.53 | Professional | 26 · Professional part | $38.90 | $79.43 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $309.03 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $309.03 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $281.84 | $281.84 | $446.68 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $81.28 | $125.89 |
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 5.6 times more in Wyoming 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· 40th of 51
$389
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.