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 $28.18 Median $38.02 Typical High $54.95 | Facility | None | $28.18 | $38.02 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $28.18 | $30.20 | $54.95 |
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 $20.42 Median $22.91 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $22.91 | $41.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $35.48 | Professional | None (both parts) | $30.20 | $31.62 | $35.48 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $8.51 | Professional | 26 · Professional part | $7.76 | $8.13 | $8.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $26.92 | Professional | TC · Technical part | $22.91 | $24.55 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.18 Typical High $56.23 | Professional | None (both parts) | $24.55 | $28.18 | $56.23 |
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 $17.78 Median $21.38 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $21.38 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $50.12 | Professional | None | $33.11 | $38.02 | $50.12 |
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 $23.99 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $23.99 | $28.84 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.20 Typical High $69.18 | Professional | None (both parts) | $21.38 | $30.20 | $69.18 |
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 $15.49 Median $21.38 Typical High $50.12 | Professional | TC · Technical part | $15.49 | $21.38 | $50.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $52.48 | Professional | None (both parts) | $21.38 | $21.38 | $52.48 |
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 $15.85 Median $15.85 Typical High $39.81 | Professional | TC · Technical part | $15.85 | $15.85 | $39.81 |
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 $13.80 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $13.80 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.62 | $6.03 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | FX · Film X-ray | $22.39 | $23.99 | $23.99 |
Where Maryland sits
The same service costs 3.7 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· 37th of 51
$31.62
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.