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 $97.72 Median $107.15 Typical High $109.65 | Professional | None (both parts) | $97.72 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $35.48 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $64.57 | $70.79 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $45.71 Median $134.90 Typical High $154.88 | Professional | None (both parts) | $45.71 | $134.90 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $45.71 | $57.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $102.33 | Professional | TC · Technical part | $91.20 | $95.50 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $302.00 | Professional | None (both parts) | $87.10 | $100.00 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $30.20 | $33.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $194.98 | Professional | TC · Technical part | $57.54 | $66.07 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $194.98 | Professional | None | $128.82 | $147.91 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $47.86 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $100.00 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $93.33 | $141.25 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $41.69 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $229.09 | Professional | TC · Technical part | $57.54 | $91.20 | $229.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $95.50 | $95.50 | $204.17 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $33.11 | $64.57 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $63.10 | $141.25 |
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 $48.98 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.50 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $79.43 | $85.11 | $85.11 |
Where Maryland sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 47th of 51
$110
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.