How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $28.84 Median $39.81 Typical High $57.54 | Facility | None | $28.84 | $39.81 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $28.84 | $30.90 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $7.24 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $23.99 | $43.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $31.62 Typical High $37.15 | Professional | None (both parts) | $7.76 | $31.62 | $37.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $9.77 | Professional | 26 · Professional part | $7.24 | $8.13 | $9.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | TC · Technical part | $25.70 | $25.70 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $25.70 | $29.51 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.92 Typical High $14.79 | Professional | 26 · Professional part | $6.17 | $6.92 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $22.91 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $53.70 | Professional | None | $33.88 | $40.74 | $53.70 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $9.33 | $12.59 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $25.70 | $31.62 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.90 Typical High $70.79 | Professional | None (both parts) | $22.39 | $30.90 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.13 Typical High $18.20 | Professional | 26 · Professional part | $5.89 | $8.13 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $52.48 | Professional | TC · Technical part | $15.85 | $22.39 | $52.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $56.23 | Professional | None (both parts) | $21.88 | $21.88 | $56.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.25 Typical High $12.59 | Professional | 26 · Professional part | $5.25 | $5.25 | $12.59 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $43.65 | Professional | TC · Technical part | $16.60 | $16.60 | $43.65 |
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 $14.45 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $25.12 | $25.12 |
Where Maryland sits
The same service costs 6.0 times more in Vermont 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· 41st of 51
$30.90
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.