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 $100.00 Median $107.15 Typical High $109.65 | Professional | None (both parts) | $100.00 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $26.92 | Professional | 26 · Professional part | $23.44 | $24.55 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $75.86 | $83.18 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $93.33 | $100.00 | $112.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $27.54 | Professional | 26 · Professional part | $24.55 | $26.92 | $27.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $83.18 | Professional | TC · Technical part | $75.86 | $81.28 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $77.62 | $89.13 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $51.29 | Professional | 26 · Professional part | $19.95 | $21.88 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $67.61 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $162.18 | Professional | None | $102.33 | $117.49 | $162.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $30.20 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $87.10 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $77.62 | $109.65 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $63.10 | Professional | 26 · Professional part | $20.42 | $28.18 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $57.54 | $83.18 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $162.18 | Professional | None (both parts) | $79.43 | $79.43 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $20.42 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $58.88 | $120.23 |
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 $50.12 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $87.10 | $87.10 |
Where Maryland sits
The same service costs 4.2 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· 45th of 51
$102
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.