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 $645.65 | Professional | None (both parts) | $398.11 | $426.58 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $117.49 | $125.89 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $302.00 | $457.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $117.49 Median $457.09 Typical High $501.19 | Professional | None (both parts) | $117.49 | $457.09 | $501.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $97.72 | $104.71 | $104.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $371.54 Typical High $389.05 | Professional | TC · Technical part | $346.74 | $371.54 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $562.34 Typical High $954.99 | Professional | None (both parts) | $302.00 | $562.34 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $72.44 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $794.33 | Professional | TC · Technical part | $234.42 | $426.58 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $660.69 | Professional | None | $354.81 | $407.38 | $660.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $95.50 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $275.42 | $316.23 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $1,000.00 | Professional | None (both parts) | $251.19 | $446.68 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $85.11 Typical High $218.78 | Professional | 26 · Professional part | $39.81 | $85.11 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $363.08 Typical High $776.25 | Professional | TC · Technical part | $213.80 | $363.08 | $776.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $354.81 | $354.81 | $562.34 |
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 $269.15 Median $269.15 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $269.15 | $436.52 |
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 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
$447
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.