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 $144.54 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $89.13 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $75.86 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $75.86 | $190.55 | $208.93 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $72.44 | $85.11 | $85.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $114.82 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $363.08 | Professional | None (both parts) | $120.23 | $134.90 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $56.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $245.47 | Professional | TC · Technical part | $69.18 | $79.43 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $257.04 | Professional | None | $141.25 | $162.18 | $257.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $70.79 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $91.20 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $123.03 | $186.21 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $141.25 | Professional | 26 · Professional part | $47.86 | $66.07 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $251.19 | Professional | TC · Technical part | $66.07 | $117.49 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $125.89 | $125.89 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $52.48 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $72.44 | $72.44 | $125.89 |
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 $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $117.49 | $125.89 | $125.89 |
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· 43rd of 51
$170
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.