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 $120.23 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $120.23 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $25.70 | Professional | 26 · Professional part | $23.44 | $24.55 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $97.72 | $107.15 | $107.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $28.84 | $134.90 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $25.70 | $25.70 | $30.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $107.15 | $107.15 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $100.00 | $120.23 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $22.91 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $95.50 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $213.80 | Professional | None | $134.90 | $162.18 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $32.36 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $128.82 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $275.42 | Professional | None (both parts) | $83.18 | $123.03 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $19.95 | $27.54 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $60.26 | $97.72 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $223.87 | Professional | None (both parts) | $85.11 | $85.11 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $42.66 | Professional | 26 · Professional part | $16.98 | $16.98 | $42.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $67.61 | $181.97 |
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 $60.26 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $104.71 | $104.71 |
Where Maryland sits
The same service costs 4.2 times more in Alaska than in New York. 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· 34th of 51
$132
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.