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 $107.15 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $66.07 | $72.44 | $72.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $147.91 | Professional | None (both parts) | $50.12 | $83.18 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $50.12 | $64.57 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $79.43 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $251.19 | Professional | None (both parts) | $83.18 | $95.50 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $36.31 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $177.83 | Professional | TC · Technical part | $51.29 | $58.88 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $169.82 | Professional | None | $109.65 | $125.89 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $48.98 | $66.07 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $66.07 | $77.62 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $100.00 | $138.04 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $100.00 | Professional | 26 · Professional part | $33.11 | $45.71 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $58.88 | $89.13 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $97.72 | $97.72 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $38.02 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $58.88 | $107.15 |
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 $53.70 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $85.11 | $91.20 | $91.20 |
Where Maryland sits
The same service costs 4.6 times more in Alaska 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· 46th of 51
$107
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.